Comparison of Closed Vs Open Interlocking Nailing of Femur in Terms of Duration of Surgery and Rate of Infection

Close Versus Open ILN Femur

Abstract

ABSTRACT

Objective: To compare the duration of surgery and frequency of infection in closed vs open interlocking nailing of femoral fractures.

Study design: comparative quasi-experimental study

Place and duration: The study took place from 10th October 2021 to 10th April 2022 in the admitted patients of the orthopedics department, Pakistan Railway General Hospital, Rawalpindi.

Methodology: Out of 80 patients, 40 were managed using a closed technique and the other 40 were treated with open surgery. It was approved from the college ethics committee. Femur fractures were classified using Winquist Hansen criteria and were managed respectively. Postoperative radiographs were obtained and OPD follow-ups were done at 06 weeks. The patients were evaluated for post-operative infections and followed further by phone calls.

Results: Thirty five percent (n=28) of the patients were female while 65% (n=52) male, 5% (n=4) of the patients got infected, 3 had had open surgery and 1 was managed using closed technique. The mean duration of surgery using closed technique interlocking nail was 160.5 minutes (120 to 180 minutes) while that of open interlocking nail surgery was 84.05 minutes (65 to 105 minutes).

Conclusion: The closed technique interlocking nailing of femoral shaft fractures is preferred due to a lower infection rate and less morbidity. However, due to non-availability of fluoroscope, open surgical technique for interlocking nailing is superior.