Prevalence of non-union complication in femoral shaft fracture patients who underwent IM nailing surgery in Fatemi Hospital Ardabil.

Noktesanj, Reza; Nami, Ali; Amani, Firooz; Seyed Shenava, Reza

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Autumn 2026

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Prevalence of non-union complication in femoral shaft fracture patients who underwent IM nailing surgery in Fatemi Hospital Ardabil.

Reza Noktesanj¹

, Ali Nami ^*²

, Firooz Amani³

, Reza Seyed Shenava⁴

1- Assistant professor, Department of Surgery, School of Medicine, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
2- Assistant professor, Department of Surgery, School of Medicine, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran , ali.nami.damirchi@gmail.com
3- Professor, Department of Biostatistics and Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
4- GP, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.

Abstract: (8 Views)

Background: Various statistics have reported the prevalence of nonunion following intramedullary nailing to be between 0.9% and 1.1%. Femoral shaft fractures typically should achieve union within three to six months after intramedullary nailing. This study aimed to determine the prevalence of nonunion in patients with femoral shaft fractures treated with intramedullary nailing at Fatemi Hospital, Ardabil.

Methods: This descriptive-analytical study was conducted on 70 patients who presented to the orthopedic clinic of Fatemi Hospital, Ardabil, with a diagnosis of femoral shaft fracture and underwent intramedullary nailing surgery in 2023 (1402 Persian calendar). Using anteroposterior femoral radiographs, patients were categorized into one of five groups (0 to 4) according to the Winquist-Hansen classification. Additionally, data on fracture type and fracture line, as well as demographic variables including age and sex, were collected. Data were analyzed using SPSS 22 software with descriptive statistics, chi-square test, Fisher's exact test, and independent t-test. The significance level was set at 0.05.

Results: In the present study, 70 patients with femoral shaft fractures with a mean age of 36.06 ± 13.5 years who underwent IM nailing surgery at Fatemi Hospital, Ardabil, participated. The prevalence of nonunion complication in femoral shaft fracture patients was 18.6%. A significant relationship was observed between fracture grade and nonunion complication.

Conclusion: The findings of the present study indicated that potential complications such as delayed union, nonunion, and osteomyelitis in the intramedullary nailing method are approximately comparable to those of the external fixator method. On the other hand, the duration of hospitalization, time to union, and other complications were lower in the intramedullary nailing method.

Keywords: Nonunion; Femoral Shaft Fracture; Intramedullary Nailing

Conflict of Interest: The authors declare that they have no conflicts of interest.

Data Availability: All data generated or analyzed during this study are included within the text of this article.

Consent for Publication: Not applicable.

Ethics Approval and Consent to Participate: This study was conducted after obtaining approval from the Ethics Committee of Ardabil University of Medical Sciences (ethics code: IR.ARUMS.MEDICINE.REC.1401.055) and was performed in accordance with the ethical principles outlined in the Declaration of Helsinki. Prior to enrollment, the study's objectives and procedures were thoroughly explained to all participants, and written informed consent was obtained from each individual. Confidentiality and the privacy of participants' information were strictly maintained throughout all stages of the research.

Financial Disclosure: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Author Contributions: Study design and methodology: Reza Nekteh-sanj and Ali Nami. Data collection: Seyed Reza Shenava and Reza Nekteh-sanj. Data analysis: Firooz Amani. Project administration: Ali Nami. All authors reviewed and approved the final version of the manuscript.

Full-Text [PDF 1027 kb] (5 Downloads)

Type of Study: Original | Subject: General

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Ethics code: IR.ARUMS.MEDICINE.REC.1401.055

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Open Access Statement: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium or format, provided that the original work is properly cited.

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