J. Evid. Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vol. 4/Issue 41/May 22, 2017 Page 2450 COMPARATIVE STUDY OF KUNTSCHERÔ??S NAIL VS. INTERLOCKING NAILING FOR FEMORAL ISTHMUS FRACTURES


Rajeev Kumar Roy1, Mahesh Prasad2

Interlocking intramedullary nailing is suitable for comminuted femoral isthmus fractures, but for non-comminuted fractures its benefit over unlocked nailing is debatable. This study was undertaken to compare outcomes of interlocking nailing versus k-nail in such fractures.
40 cases of noncomminuted femoral isthmus fractures treated with interlocking nailing and K-nail from April 1, 2015, to December 1, 2016, were reviewed. Radiological and clinical union rates, bony alignment, complication and knee function were investigated.
There was no statistical significant difference with regard to union rate, implant failure, infection and fracture alignment in both study groups. Open fixation with K-nail is technically less demanding and requires less operating time; additionally, there is no exposure to radiation and cost of the implant is cheaper.
We therefore conclude that unlocked nailing is still useful for the management of noncomminuted isthmus fractures of the femur.