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TITLE:

INTRAMEDULLARY INTERLOCKING NAIL: A TREATMENT OPTION AFTER IMPLANT FAILUREOF DIAPHYSEAL FEMORAL FRACTURES

AUTHORS:

Dr. Abbas Memon; Dr. Faheem Ahmed Memon; Dr. Mehtab ahmed pirwani; Dr. Muhammad Yahya Memon

ABSTRACT:

Abstract: Objective: To assess the functional outcome in patients having diaphyseal fracture of femur with implant failure after treatment of intramedullary interlocking nails Methodology: Present cross-sectional study had conducted in the department of orthopaedic Surgery of LUMHS. Study duration was 2 years from August 2014 to July 2016. Patients with presentation of implant failure in treatment of closed femoral diaphyseal fractures were selected. All the failure implants were removed, and patients were treated with imported intramedullary interlocking nails. All the data was recorded in the proforma. Results: Total 27 patients were included after implant failure of diaphyseal fracture of femur; their mean age was 41.2+9.23 years. Males were found in majority 22(84.6%), while female were only 05(15.4%). According to the functional outcome, 09(33.3%) showed excellent outcome, 13(48.1%) showed good outcome and 05(18.5%) showed poor outcome. Conclusion: It was concluded that poor quality of implant and poor post-operative care were responsible implant failure and after failure replacement by imported intramedullary interlocking nails is the best option for management. Key Words: Femoral fracture, Implant failure, intramedullary interlocking nails

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