Biological fixation of closed comminuted femoral fractures using plates versus intramedullary nailing

Abstract

Femoral fractures are one of the most devastating injuries. In healthy adults this bone will not fracture without considerable violence, making femoral fractures major injuries that are commonly the result of high-energy trauma, often associated with other complex injuries and forming part of a life-threatening injury pattern. There are many classification systems used in femoral fractures. These depend on fracture configuration and site and include Fielding, Seinsheimer, Russell-Taylor and AO classification. There are many methods for the treatment of femur shaft fractures. The surgeon must be aware of the indications, advantages and disadvantages of each treatment option and decide the appropriate treatment method for each patient individually. Fracture type, location, presence of comminution or not, patient age, and lifestyle expectation are important factors when selecting the treatment method. In this study 60 patients suffering from comminuted femoral fractures, which were classified into two groups, group 1, 30 cases underwent closed reduction and interlocking nail fixation and group 2, 30 cases underwent closed reduction and biological plating using MIPPO technique.