Comminuted femoral shaft fractures treated by closed intramedullary
nailing and functional cast bracing. Sharma JC. Gupta SP. Mathur NC. Kalla R. Aseri MK. Biyani A. Journal of Trauma. [JC:kaf] 34(6):786-91, 1993 Jun. Eighty-one patients with comminuted femoral shaft fractures were treated by closed unlocked Kuntscher nailing and functional cast bracing for 1 to 4 weeks postoperatively depending on the degree of comminution. The mean follow-up period was 27.6 months. The average time required for fracture healing was 14 weeks. There was one delayed union. One fracture united with more than 10 degrees of rotational malalignment; shortening of more than 1 cm was present in four cases. Two patients had more than 20 degrees of limitation of hip and knee movement.
Original Text by Clifford R. Wheeless, III, MD.
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