Abstract:

Objective　To analyze the reasons of the failure treatment on fracture of femoral shaft, and explore the effects of overhaul method by locking intramedullary nail.　Methods　29 patients suffered from the fracture of femoral shaft underwent revisional procedure, through the internal fixation of locking intramedullary nail, and then, 19 of them were given by self-iliac bone grafting.　Results　With 8-25 months' follow-up survey, all patients healed from the fracture during 5-12 months, accompanied with the well recovery of the functions of knee joint. There were no complications, such as infections, disunion of fracture or broken-nail happened.　Conclusions　Internal fixation with locking intramedullary nail is reliable for fracture fixation and functional recovery.  The locking intramedullary nail is one of ideal internal fixation materials especially in the revision for femoral shaft fracture.

Key words:  Interlocking intramedullary nail, Femoral fracture, Revision