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Journal of Bone and Joint Surgery, 1971;53:681-692.
© 1971 by The Journal of Bone and Joint Surgery, Inc


Closed Intramedullary Nailing of the Femur

D. KAY CLAWSON M.D.1, ROBERT F. SMITH M.D.1, and SIGVARD T. HANSEN M.D.1

1 From the Department of Orthopedics, University of Washington School of Medicine, Seattle

Closed nailing with intramedullary reaming for fractures of the femur is a safe method for treating most femoral-shaft fractures and for obtaining early functional recovery.

A method of making the procedure available to more orthopaedic surgeons is presented.

Regardless of the severity of injury in our patients, 20 per cent were fully weight-bearing in one week and 73 per cent within two months.

There were no infections or non-unions.

The procedure is recommended as the treatment of choice for femoral-shaft fractures in skeletally mature patients, except those with severe comminution where bone-to-bone contact is insufficient to maintain length.


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