Developmental Dysplasia of the Hip
presents
Wheeless' Textbook of Orthopaedics

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.