Abstract
We treated 16 cases of the femoral shaft fractures by closed interlocking nailing. The average age of the patients was 39 years (range, 12 to 86 years). Grosse-Kempf nails were most frequently used. One delayed union occurred in a 65-year-old woman who sustained a segmental fracture of the femur and was treated by closed interlocking nailing (static lock). We considered that this delayed union was owing to a small gap (5mm) remained at the proximal transverse fracture site. Dynamization was performed at 4 months after the initial operation and union is appeared to be progressing at present. The remaining 15 fractures united uneventfully without any deformity, shortening and infection. We conclude that closed interlocking nailing is one of the best methods for the femoral shaft fractures.
