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7494867 
Journal Article 
Multilevel segmental femur fracture in young individuals treated by a single step - All in one intramedullary device – A prospective study 
Loganathan, S; Thiyagarajan, U; , 
2021 
0 
Biomedicine
ISSN: 0970-2067 
488-491 
Introduction: Multilevel femur fracture is being encountered frequently than previously thought. The literature reports the incidence anywhere between 6-11%. Management of these fractures in isolation are technically demanding, and presence of other bone or organ involvement complicates the scenario in achieving the optimal functional results. The use of a single implant provides the technically better overlapping fixation.  Methods: Our study represents a prospective cohort study in a 2-year period, between 2017 till 2019. Twenty-six patients with multilevel femur fractures being treated by a single step all in one interlocked cephalomedullary nail were included. Results: In our study 16 patients (88.8%) had been treated by Antegrade cephalomedullary reconstruction nail / proximal femoral nail. Healing of all the femoral fractures was without major complications or requirement of additional surgical procedures. In our study the femur fractures, on an average healed by 18 weeks. Conclusion: For multilevel segmental femur fracture in young adults, stabilization using All-in-one device such as the intramedullary nail is recommended. Closed reduction with PFNA?long / Reconstruction nail is an effective treatment for long?segment femoral fracture with good strength in fixation, high rate of fracture union, and low rate of complications. 
PFAS
• PFNA