Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture: Reduction Through a Small Incision Without a Fracture Table

Jen Chung Liao, Pang Hsin Hsieh, Tai Yuan Chuang, Juin Y. Su, Chih H. Chen, Yeung J. Chen

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Background: Femoral shaft fractures are usually treated with intramedullary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. Methods: From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow-up were included for clinical evaluation. The surgical technique involves a mini-wound at the fracture site, and fracture reduction is performed with 1 finger or a bone hook without the use of a fracture table. Results: Seventy-four fractures (97%) healed in the first 6 months. In 2 patients, there was little evidence of fracture union at 6 months. One of these 2 patients was treated with an open bone graft, and the other was treated with a closed exchanging nail. Finally these 2 patients healed. The mean operation time for this procedure was 75 minutes. Conclusion: The advantages of this procedure include that no fracture table is needed, there is a shorter operation time, there is a small amount of blood loss, and it is especially suitable for multiple trauma patients.

Original languageEnglish
Pages (from-to)660-668
Number of pages9
JournalChang Gung Medical Journal
Issue number9
Publication statusPublished - Sep 2003
Externally publishedYes



  • Femur
  • Fracture
  • Mini-open
  • Nail

ASJC Scopus subject areas

  • Medicine(all)

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