The Journal of Bone and Joint Surgery, Vol 72, Issue 5 724-728, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc
Interlocked nailing for treatment of segmental fractures of the femur
DA Wiss, WW Brien and WB Stetson
Department of Orthopaedics, University of Southern California Medical Center, Los Angeles 90033.
Thirty-three segmental fractures of the shaft of the femur were treated
with the Grosse-Kempf interlocking nail. Twenty-eight of the fractures had
been caused by high-energy trauma. There were twenty-six closed and seven
open fractures. Thirty-two of the thirty-three fractures united, at an
average of thirty-two weeks, without additional intervention other than
dynamization of the nail. There were one non-union, one delayed union, and
two malunions. Virtually all fractures located between the lesser
trochanter and the femoral condyles can be nailed, regardless of the
pattern of the fracture or the degree of comminution. Closed interlocked
nailing is the treatment of choice for most segmental fractures of the
shaft of the femur.
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