Standard Reaming Versus Reaming/Irrigating/Aspirating for Intramedullary Nailing of Femoral Shaft Fractures

Status:	Completed
Conditions:	Orthopedic, Orthopedic
Therapuetic Areas:	Orthopedics / Podiatry
Healthy:	No
Age Range:	18 - 85
Updated:	2/17/2019
Start Date:	December 2006
End Date:	December 30, 2018

Reaming (enlarging of the bone canal) is commonly performed prior to the insertion of
intramedullary nails for the fixation of long bone fractures. This study is designed to
compare the union rates between fractures reamed by standard reaming versus reaming with a
Reamer/Irrigator/ Aspirator (RIA). In addition, this study will collect patient-based
outcomes on these patients. Little information exists on the patient based outcomes following
femur fractures. We hope that the patient based outcomes of this study will also be able to
aid physicians in advising patients with femur fractures of their possible outcomes.

Inclusion Criteria:

1. Men or women between the ages of 18 years and 85 years;

2. Acute fractures of the femoral shaft

Exclusion Criteria:

1. Fractures not amenable to intramedullary nailing and deemed by the treating surgeon;

2. Pathological fractures;

3. Open fractures;

4. Patients with additional injuries to the ipsilateral femur;

5. Surgical delay of greater than 7 days from the time of injury;

6. Retained hardware in the affected limb;

7. Previous infection in fractured limb;

8. Likely problems in the judgment of the investigators with maintaining follow-up;

9. Patients with severe cognitive injuries or disabilities will be excluded if it is
deemed that they will be unable to complete the study questionnaires;

10. Hopeless diagnosis;

11. Medical comorbidities that prohibit the conductance of surgical treatment under a
general anesthetic;

12. Fractures requiring cephalomedullary nails

We found this trial at

sites

University of Tennessee-Chattanooga Unit

Chattanooga, Tennessee 37403

from

Chattanooga, TN