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Journal of Research in Medical Sciences، جلد ۱۲، شماره ۱، صفحات ۱۶-۰
عنوان فارسی
چکیده فارسی مقاله
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عنوان انگلیسی A prospective study of closed and open reamed intramedullary nailing of 136 femoral shaft fractures in adults
چکیده انگلیسی مقاله BACKGROUND : Femoral shaft fractures are major causes of mortality and morbidity and are managed with intramedullary nailing (IMN). In this study we compared the results of open and closed nailing in femoral shaft fractures. Between 1993 and 2001 we managed 136 femoral shaft fractures by IMN (81 closed and 55 open nailings) METHODS : in 120 patients with mean age of 36.2 years. The mean time of follow up was two years. Radiologic and clinical results were analyzed with SPSS software using student-t and Fisher test. RESULTS : 93.2% healed within six months. 2.9% required dynamization; total ::union:: rate was 96%. Full weight bearing was permitted between 5-16 weeks (mean of 10.62 weeks) in the closed method, and 10-20 weeks (mean of 12.83 weeks) in the open method (P< 0.001). Complications included 4.41% non::union::s, 2.9% shortening, 10.8% limited range of movement, 1.47% deep infection, and 6.6% mal::union::. Non::union:: was observed in 2 cases in closed and in 4 patients in open method (P = 0.039). Closed series showed higher rate of mal::union:: (P = 0.181, P = 0.221). CONCLUSIONS : In closed method attention should be paid to malalignment while locking the nail.
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نویسندگان مقاله محمد قره داغی | mohammad gharehdaghi
department of orthopedics amp;amp; traumatology, emam reza hospital, mashhad university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

حسن رحیمی | hasan rahimi
department of orthopedics amp;amp; traumatology, emam reza hospital, mashhad university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

محمود بهاری | mahmoud bahari
department of orthopedics amp;amp; traumatology, emam reza hospital, mashhad university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

جواد افضلی | javad afzali
department of orthopedics amp;amp; traumatology, emam reza hospital, mashhad university of medical sciences

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)

نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/1031
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Articles
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