CLOSED INTERLOCKED NAILING IN COMMINUTED AND SEGMENTAL FEMORAL-SHAFT FRACTURES

One hundred eight femoral shaft fractures in one hundred six adults we re treated by closed intramedullary interlocked nailing. Ninety-two fr actures were severely comminuted and 16 fractures were segmental. The procedures were done with the patients in the supine position. A modif ication of the cylinder guide for fixation of the distal screws is des cribed. All the fractures healed in an average of 18 weeks (range, 12- 24 weeks). Dynamization was performed in 15 fractures. There were two postoperative complications, which did not ultimately affect the clini cal results. No infections or delayed unions were observed. Closed int ramedullary interlocked nailing seems to be the treatment of choice fo r comminuted and segmental fractures of the femoral shaft provided tha t all the technical details are followed by the surgeon.