الفهرس 
Outcomes of Reamed Versus Unreamed Interlocking Nailing for Femoral Shaft Fractures
Arabic Coverيوجد فقط 14 صفحة متاحة للعرض العام
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المستخلص
Background: Femoral shaft fractures are severe injuries and are often associated with a high impact trauma mechanism.(¹)Locked intramedullary nailing (ILN) is the treatment of choice for femoral shaft fractures in adults. It has a superior benefits over plates due to higher biomechanical stability, less blood loss, rapid fracture healing, early weight bearing.(⁴,²⁹,³¹) Locked IMN can be done through reamed and unreamed techniques.(⁵) Aim of work:To compare the results of the two techniques in management of mid-shaft femoral fracture as regarding to operative time, Intra-operative and Post-operative blood loss and transfusion, Radiation time, Size of nail, Post-operative complications as DVT, infections,delayed union, non-unions and Lower Extremity Function Scale over a 6 months follow up. Patient and methods:A total of 40 patients with mid-shaft femoral fractures treated surgically between November 2018 to May 2019 were included into the study. Twenty patients underwent fixation by antegrade locked intramedullary nail(Reamed group) and twenty patients underwent fixation by antegrade locked intramedullary nail (Unreamed group). All patients were anaesthetized by regional anaesthesia. Prophylactic antibiotic 3rd generation cephalosporin was given to all patients 30 min before surgery. All patients were operated in lateral position except one case in unreamed group were operated in supine position on traction table. In all patients, fractures were reduced by closed reduction except one that was reduced by open reduction.Low-molecular-weight heparin was administered for 4 weeks postoperatively for all patients as a prophylactic. All patients were followed up in the outpatient clinic at 2 weeks, 6 weeks, 3months and 6 months