Dema Rajaiah1, Kuppa Srinivas2, Bhaskar Konatham3, Sujith Omkaram4, S. Venkateswar Reddy5
AIMS AND OBJECTIVES: To study and evaluate the efficacy of k-nail and interlocking nail in relation to intra operative and post-operative complications, infection rate, fracture union and advantages of one over the other
RESULTS: In the present study 40 cases of femur shaft fractures treated by k-nail and interlocking nail in government general hospital Kurnool from January 2010 to august 2012 were included. These cases are divided in group A and group B. Group A includes 20 cases treated by k-nail and Group B includes 20 cases treated by interlocking nail. The commonest age group was 21-30 years with 50% in group A and 45%in group B. Intra operative complication in group A is seen in two cases (10%) while in group B in 5 cases (25%). Six cases in group A and 4 cases in group B has postoperative complications. Infection rate is similar in both groups. The average time for fracture union in group A is 19.35 weeks in group B it is 19.15 weeks. The functional outcome in group A is 80% excellent, 15% good and 5% fair. In group B 85% has excellent and 15% good.
CONCLUSION: By the analysis of data collected interlocking nailing is the treatment of choice for fracture shaft femur. Postoperative complication, infection rates, time for union are equal in both modalities but functional outcome is excellent with interlocking nailing.