TY - JOUR
T1 - Effect of nailing technique on length of stay in isolated ballistic femoral shaft fractures
AU - Baker, Hayden P.
AU - Krishnan, Pranav
AU - Foy, Michael
AU - Strelzow, Jason
AU - Daccarett, Miguel
AU - Dillman, Daryl
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
PY - 2023/2
Y1 - 2023/2
N2 - Purpose: The purpose of this study was to investigate length of stay, postoperative mobilization and discharge disposition following intramedullary nailing of ballistic femoral shaft fractures stratified by nailing technique. Methods: All adult patients with isolated ballistic femoral shaft fractures between May 1, 2018, and September 1, 2021, were reviewed. The final cohort included 69 ballistic femur fractures in 69 patients. Of the 69 patients included, 29 were treated with retrograde nailing while 40 were treated with antegrade nailing. Results: The average length of stay of patients treated with antegrade nailing was 2.55 days (SD 1.3 days) compared with 3.45 days (SD 2.3 days) for patients treated with retrograde nailing; this was statistically significant (P = 0.04). Median steps on POD1 for antegrade nailing were 20 and 8 for retrograde. There was no significant difference in VAS pain scores between the two cohorts. All patients were discharged home. Conclusion: The average length of stay for patients who underwent antegrade nailing was significantly shorter when compared with the retrograde nailing. Patients in the antegrade cohort mobilized further than the retrograde cohort in the immediate postoperative setting. We found no significant difference in VAS pain scores between the two cohorts. Level of Evidence: 3.
AB - Purpose: The purpose of this study was to investigate length of stay, postoperative mobilization and discharge disposition following intramedullary nailing of ballistic femoral shaft fractures stratified by nailing technique. Methods: All adult patients with isolated ballistic femoral shaft fractures between May 1, 2018, and September 1, 2021, were reviewed. The final cohort included 69 ballistic femur fractures in 69 patients. Of the 69 patients included, 29 were treated with retrograde nailing while 40 were treated with antegrade nailing. Results: The average length of stay of patients treated with antegrade nailing was 2.55 days (SD 1.3 days) compared with 3.45 days (SD 2.3 days) for patients treated with retrograde nailing; this was statistically significant (P = 0.04). Median steps on POD1 for antegrade nailing were 20 and 8 for retrograde. There was no significant difference in VAS pain scores between the two cohorts. All patients were discharged home. Conclusion: The average length of stay for patients who underwent antegrade nailing was significantly shorter when compared with the retrograde nailing. Patients in the antegrade cohort mobilized further than the retrograde cohort in the immediate postoperative setting. We found no significant difference in VAS pain scores between the two cohorts. Level of Evidence: 3.
KW - Antegrade versus retrograde intramedullary nailing
KW - Femur fracture
KW - Length of stay
KW - Postoperative mobilization
UR - http://www.scopus.com/inward/record.url?scp=85123935392&partnerID=8YFLogxK
U2 - 10.1007/s00590-021-03191-x
DO - 10.1007/s00590-021-03191-x
M3 - Article
C2 - 35088146
AN - SCOPUS:85123935392
SN - 1633-8065
VL - 33
SP - 353
EP - 360
JO - European Journal of Orthopaedic Surgery and Traumatology
JF - European Journal of Orthopaedic Surgery and Traumatology
IS - 2
ER -