Femoral shaft fractures

Summary

Evidence from two studies (one RCT, one cohort) suggests that dynamization of intramedullary nailing (IMN) and static IMN for femoral shaft fractures appear to be comparable with regard to risk of nonunion, nail breakage, and limb shortening. Conflicting results with regard to mean time to union were noted. Additional methodologically rigorous comparative studies, which include patient-reported outcomes and larger sample sizes, are necessary to establish the long term safety and efficacy of these two operative treatments.