ARTICLE –
abstractOur
experience in treating femoral diaphyseal fractures and their most
common complications Radu Ciuvică1, Mirela Vasilescu2, Anca Bordianu3, Ştefan Cristea4
1Department of Orthopedics and Traumatology, University of Medicine and Pharmacy Carol Davila,
Clinical Emergency Hospital Bagdasar-Arseni, Bucharest
2Kinesiology and Sports Medicine Department, University of Craiova,
3Department of Plastic and Reconstructive Surgery, University of Medicine and Pharmacy Carol Davila,
Clinical Emergency Hospital Bagdasar-Arseni, Bucharest
4Department of Orthopedics and Traumatology, University of Medicine and Pharmacy Carol Davila,
Clinical Emergency Hospital Sf. Pantelimon, Bucharest, Romania
Abstract
State of
paper's purpose. The femoral diaphyseal fractures are one of the most
frequent and serious traumatic disorders encountered in orthopedic
practice which can lead to severe squeals if not managed correctly.
This study analyzes the femoral diaphyseal fractures surgically treated
in two large trauma centers from Bucharest during 5 years. We assessed
the treatment methods, the associated lesions and the most frequent
complications. The most frequent late complication found in our series
of patients was the nonunion, which accounted for 14,7% of the cases.
Considering the frequency and the severity of this complication the
study tried to elaborate a treatment algorithm and a new classification
for the nonunions and to evaluate the results of the surgical treatment
of femoral diaphyseal nonunions.
Key
words:femoral diaphyseal fracture, internal fixation, complications, nonunion
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