Affordable Access

Exchange femoral nailings at Kenyatta National Hospital

Kenya Orthopaedic Association
Publication Date


Background: Intramedullary nailing is the method of choice in the treatment of acute femoral shaft fractures in adults. It is associated with a high fracture union rate and a low complication rate. Nonunion as well as its other rare complications are treated by exchange femoral nailing. Objective: To look at the use of the Kuntscher nail in the management of femoral shaft fracture and to look at complications of Kuntscher nailing that require intramedullary nailing. Design: This was a ten year observational study. Setting: Ward 6D, Kenyatta National Hospital, Nairobi, Kenya. Patients and methods: All patients admitted to ward 6D, Kenyatta National Hospital with fracture shaft of femur and treated by Kuntscher nailing between 1 st January 2001 and 30th April 2011 were followed up. Those who developed a complication requiring exchange femoral had the exchange femoral nailing performed by the authors. Results: Over the study period, four patients underwent exchange femoral nailing.The indications for the exchange nailings were infection,two cases, malrotation, bent nail, and long Kuntscher nails. Infection coexisted with malrotation and a long Kuntscher nail. Exchange involved using both the conventional Kuntscher nail and a Russel-Taylor interlocking nail. Conclusions: Exchange femoral nailing was undertaken in only 0.24% of Kuntscher nailings over this ten year’s study period.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Stroke at Kenyatta National Hospital.

on East African medical journal July 1990

Cancer of the penis at Kenyatta National Hospital.

on East African medical journal October 2000

Acromegaly at Kenyatta National Hospital.

on East African medical journal June 1984

Battered baby syndrome at Kenyatta National Hospit...

on East African medical journal December 1990
More articles like this..