Does Open Reduction in Intramedullary Nailing of Femur ShaftFractures Adversely Affect the Outcome? A Retrospective Study

-is study aims to assess the results of open versus closed reduction in intramedullary nailing for femoral fractures andwhether it delays unio‎n, predisposes to nonunio‎n, or increases the rate of infection.Materials and Methods. A retrospective reviewof all adult patients with isolated femoral shaft fractures treated by intramedullary nailing was done. -e primary outcome is unio‎nrate, and the secondary outcomes are operation time and the infection rate.Results. 110 isolated femoral shaft fractures, with 73(66.4%) in the closed reduction group and 37 (33.6%) in the open reduction group, 90.4% males and 9.6% females, and the averageage was 32.6 years. RTA is the most common cause of these injuries followed by the fall from height. -e delayed unio‎n rate was20% (22/110) with no difference between the two groups,pvalue 0.480, and the nonunio‎n rate was 5.5% (6/110), and no statisticaldifference was observed between the two groups. -e operation time was shorter in the closed groups, and no difference in thetime to unio‎n was observed between two groups. No infection was found in the two groups.Conclusions. -ere is no statisticaldifference between the healing rates in closed and open reduction in femoral shaft fractures. In cases where closed reduction isdifficult, it is better to open reduce the fracture if closed reduction cannot be achieved in 15 minutes, especially in polytrauma.