Femoral nailing in adults: doctor and patient reported outcomes

The treatment of traumatic femoral shaft fractures using an unreamed nail is associated with good results. Both antegrade and retrograde unreamed nailing techniques result in high union rates and low rates of complications, such as non-union, deep infection and septic arthritis. These results are comparable with the available literature on reamed nailing. Patient reported outcome measures show good results as well. However, chronic pain can have a substantial effect on the individual health status, which needs more clinical attention and research