ArticleJoint diseases and related surgery2023
Does obesity affect diaphyseal femoral fracture healing treated with intramedullary locking nail?
Article in Joint diseases and related surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 10 citations in OpenAlex.
- Body mass index, weight bearing, and delayed union after femoral shaft fracture nailing: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Factors associated with implant- and bone-related complications and fixation-failure-related readmissions after internal fixation for femoral neck fractures in young and middle-aged adults: a population-based study.International orthopaedics · 2026Article
- Harnessing MSC Immunomodulation in Orthopedics: Clinical Insights for Comorbidities.Stem cell reviews and reports · 2026Review
- Risk factors for delayed healing after traumatic limb fractures and a comparative assessment of external versus internal fixation in delayed union.American journal of translational research · 2026Article
- Does Preoperative CT Improve Outcomes in Femoral Neck Fracture Fixation? A Retrospective Study.Journal of clinical medicine · 2025Article
- Percutaneous joystick reduction with reductor-T tape pin and fixation with a reconstruction nail for the treatment of ipsilateral femoral neck and shaft fractures.Joint diseases and related surgery · 2025Article
- Evaluation of the effect of eccentric nailing on femoral diaphyseal union delay.Joint diseases and related surgery · 2025Article
- Use of Autologous Bone Graft with Bioactive Glass as a Bone Substitute in the Treatment of Large-Sized Bone Defects of the Femur and Tibia.Journal of personalized medicine · 2023Article
- Does intramedullary elastic nail augmentation increase resistance to bending stress in plate fixation of long bones? A biomechanical study on lamb cadaveric femurs.Joint diseases and related surgery · 2023Article
- Comment on article by Salman et al.: open versus closed intramedullary nailing of femur shaft fractures in adults: a systematic review and meta-analysis.International orthopaedics · 2023Article
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aims to evaluate the effect of obesity on radiological fracture union in diaphyseal femoral fractures (DFFs) treated with intramedullary nailing (IMN). PATIENTS AND
methodsBetween January 2017 and December 2018, a total of 120 patients (101 males, 19 females; mean age: 35.1±3.0 years; range, 18 to 72 years) treated with IMN for closed DFFs were retrospectively analyzed. Data including age, sex, location, weight, height, comorbidities such as diabetes mellitus, hypertension or kidney injury, date of injury, mechanism of injury, type of femoral fractures (AO classification), date of surgery, duration of surgery, IMN length and diameter used, date of radiological fracture union and complications of surgery such as nonunion, delayed union, and infections were recorded.
resultsOf the patients, 63 had obesity and 57 did not have obesity. There was a statistically significant difference in fracture configuration among patients with obesity; they sustained type B (p=0.001) and type C (p=0.024), the most severe fracture configuration. The nonunion rate was 45%. Obesity had a significant relationship with fracture nonunion with patients with obesity having the highest number of nonunion rates (n=40, 74.1%) compared to those without obesity (n=14, 25.9%) (p=0.001). Fracture union was observed within the first 180 days in 78.9% of patients without obesity, while it developed in the same time interval in only 38.1% of patients with obesity (p=0.001).
conclusionFracture union time for the patients with obesity was longer, regardless of the fracture configuration. Obesity strongly affects fracture union time in DFFs treated with an IMN. Obesity should be considered a relative risk in decision-making in the choice of fixation while treating midshaft femoral fractures.
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