Aetiological factors in infection following open retrograde intramedullary nailing of the femur

Abstract

SummaryThirty-three patients with chronic osteomyelitis of the femur following open retrograde Kintscher intramedullary nailing of the femur were studied to determine possible reasons for the development of infection. In 32 patients the indication for the operation was a closed fracture of the shaft of the femur (recent or malunited) and in one it was to shorten the femur.

Time intervals in the treatment of fractured femurs as indicators of the quality of trauma systems

“…Open reduction has become relatively rare in high-income countries because it is associated with higher rates of infection and non-union. [43][44][45][46][47] In Kenya and the United Republic of Tanzania, where most orthopaedic surgeons are concentrated in the large urban referral centres, peripheral hospitals seldom treat femur fractures surgically.…”