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  • Title: Delayed internal fixation of femoral shaft fractures--is there an advantage? A review of 320 fractures.
    Author: Pahud B, Vasey H.
    Journal: J Bone Joint Surg Br; 1987 May; 69(3):391-4. PubMed ID: 3584191.
    Abstract:
    We have reviewed 402 traumatic fractures of the femoral shaft, 320 of which had been treated by operation and had a long follow-up. Of these, 228 closed fractures and 37 open fractures had been stabilised by plating. There was no significant difference in healing between those stabilised early and those having delayed internal fixation. Re-fracture after removal of the implant occurred more often after early operation. All 55 fractures treated by intramedullary nailing healed and there were no re-fractures after nail removal. We found no correlation between delay before operation and the incidence of postoperative infection.
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