Evaluation of fixation of proximal and shaft femoral fractures by plate and ender nails

Abstract

The proximal and shaft fractures of the femur are common important types of fractures in the lower limb. These are usually treated with plating. But further resistance points are available by intramedullary Ender nails. These fractures can cause longterm morbidities unless treated sufficiently. Neck-shaft fractures occur in 2.5-9% of femur fractures. Comparison of these methods can help to determine the applicability of them and recognition of preferred method. Accordingly in this study, the outcomes of fixation of proximal and shaft femoral fractures by plate and ender nails were assessed. Material and Methods: In this observational study that was done as a retrospective cross-sectional survey, 30 consecutive patients with simultaneous proximal and shaft femoral fractures admitted in Shohada Hospital in Tabriz since 2011 to 2019 were evaluated including 23 cases with plating method and 7 cases with intramedullary Ender nails. Pathologic fractures were excluded. The hospitalization, union, and range of motion of the knee in flexion and extension were assessed and compared among the groups. Results: The hospitalization, union, and range of motion of the knee in flexion and extension were totally same across the Ender versus plating method and there was no statistically significant difference (P > 0.05).