Treatment of femoral shaft fractures with Grosse-Kempf intramedullary nail

Ninety consecutive femoral shaft fractures in 87 patients treated by reamed Grosse-Kempf intramedullary nailing were reviewed. The median observation time was 45 months. The functional results were excellent or good in 82% of the fractures, fair in 16%, and poor in 2%. Four non-unions and two superf...

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Bibliographic Details
Published in:Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2000-08, Vol.5 (4), p.328-332
Main Authors: Larsen, Søren Erik, Nielsen, Kaspar Saxtrup, Larsen, Morten Schultz, Kristensen, Søren Skydt
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
Femoral fractures
Femoral Fractures - surgery
Follow-up
Follow-Up Studies
Fracture Fixation, Intramedullary - instrumentation
Fractures, Closed - surgery
Fractures, Open - surgery
Humans
Knee
Male
Medical sciences
Middle Aged
Nailing
Orthopedic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
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Summary:Ninety consecutive femoral shaft fractures in 87 patients treated by reamed Grosse-Kempf intramedullary nailing were reviewed. The median observation time was 45 months. The functional results were excellent or good in 82% of the fractures, fair in 16%, and poor in 2%. Four non-unions and two superficial infections were observed. Leg shortening of more than 2cm was recorded in 2 patients. Rotatory malalignment exceeded more than 15° in 2 patients. We conclude that reamed Grosse-Kempf intramedullary nailing is an excellent treatment for femoral shaft fractures. Although this study represents the first period during which we used the nail, the number of complications was acceptable.
ISSN:0949-2658
1436-2023
DOI:10.1007/s007760070038