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Is mini-open intramedullary nailing an effective intervention for adult femoral diaphyseal fractures in odd hours? a prospective case control functional out-come and radiation safety study.

Injury Oct 29, 2020

Nandhimandalam B, Das S, Zalariya S, et al. - The present study was conducted to match the closed intramedullary (IM) nailing and mini-open technique in femoral-diaphyseal fractures (FDF) in terms of radiation exposure, surgical duration, radiological and functional outcome. Researchers recruited a sum of 100 patients (118 femurs) with FDF (AO 32A1-B2) operated in odd-hours (20:00–06:00 hrs. GMT +5.30) with closed (Group I, n=62) or mini-open (Group II, n=56) IM nailing technique between September 2018 to December 2019 with a minimum follow up of 12 months. The data revealed that in patients with FDF, the mini-open technique is a safer alternative at high-volume centers and in odd-hours when the available resources are limited.

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