MANAGEMENT OF DIAPHYSEAL FRACTURE OF FEMUR WITH ANTEGRADE AND RETROGRADE NAILING (COMPARATIVE STUDY)

Dhalwinder Singh, Rajesh Kapila, Rakesh Sharma, Kamal Arora, Simranjit Singh, Kamaljyoti, Dhalwinder Singh
International Journal of Orthopaedics Traumatology & Surgical Sciences   unpublished
Diaphyseal femoral fractures are commonly encountered in routine orthopaedics emergency. They occur commonly due to high velocity trauma and therefore are mostly associated with injuries such as head injury,chest injury as well as other fractures. Operative treatment is the treatment of choice in the management of diaphyseal fractures of femur. There are extramedullary and intramedullary methods of fixation of fracture shaft femur. This can be treated with plating and nailing methods. Nailing
more » ... methods. Nailing method is superior to plating in decreasing blood loss during operation,in achieving better union rates and decreasing incidences of postoperative infections. There are two methods of femoral nailing-Antegrade and Retrograde methods. A study was conducted in tertiary care hospital of Punjab where Antegrade and Retrograde methods of femoral nailing was compared. It was concluded that both the methods are good in achieving union of bone and retrograde nailing more favourable in obese,pregnant and patients with ipsilateral spine and pelvic trauma.
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