Comparison of the clinical efficacy of interlocking intramedullary nailing and compression plate fixation for femoral shaft fracture

Objective To compare the clinical efficacy of interlocking intramedullary nailing and compression plate fixation for femoral shaft fractures.Methods 84 patients of femoral shaft fractures were randomized into 2 groups,42 patients as the observation group using intramedullary nail,42 cases as the control group using compression plate fixation.The conditions of the operation,X-ray of femoral shaft after operation,callus growth,and function recovery of knee were recorded.Results The hospitalized time,intraoperative blood loss of the observation group were(42.5±11.2)d and(283.4±23.7)ml,the control group were(55.4±12.1)d and(301.2±32.3)ml,the two indicators of the observation group were both lower than the control group(P0.05);The callus ratio in the first two months of the observation group was 90.5%,the control group was 47.6%,which was higher in the observation group(P0.05);In the observation group,the time of knee joint restore to 30°,60°,90°,135° were(6.5±1.2)d,(9.7±1.8)d,(14.0±2.2)d,(27.8±5.4)d,in the control group were(8.3±2.2)d,(11.6±3.3)d,(16.6±4.6)d,(35.7±8.6)d,the observation group were lower than control group(P0.05);The observation group was recover well,and no one occurred complications after the operation;in the control group,1 occurred incisional infection,1 occurred osteomyelitis,2 occurred nonunion.Conclusions The cure rate of interlocking intramedullary nailing is higher than compression plate fixation treating,the complications after operation is fewer,it is the preferred method for primary hospital to cure femoral shaft fracture.