Article Text


Aetiological factors in infection following open retrograde intramedullary nailing of the femur
  1. Abulfotooh M. Eid


    Thirty-three patients with chronic osteomyelitis of the femur following open retrograde Küntscher intramedullary nailing of the femur were studied to determine possible reasons for the development of infection. In 32 patients the indication for the operation was a closed fracture of the shaft of the femur (recent or malunited) and in one it was to shorten the femur. In 6 patients (18·2%) there was evidence of skin, urinary and upper respiratory tract infection. In 14 patients (42·4%) it was felt that potential infection was present in poor skin overlying the fracture and unhealed laparotomy wounds. Four patients were under the age of 15 years. The operating theatres lacked facilities for room-air exchange, for provision of filtered air or for modern body-exhaust systems. Twenty-two (66·7%) operations were performed by surgeons under training.

    Statistics from

    Request permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.