ArticleCureus2026
Intramedullary Nailing of Femoral Shaft Fractures: Implications of Interlocking Screw Breakage.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction Femoral shaft fractures are commonly treated with intramedullary nailing (IMN), though complications such as delayed union, nonunion, and hardware failure remain significant challenges. Interlocking screw breakage has unclear implications for fracture healing. Our study examined patients with femoral shaft fractures treated with IMN who developed interlocking screw breakage to evaluate outcomes and complications. Methods The retrospective cohort study included 551 patients with femoral shaft fractures (AO Foundation (AO)/Orthopaedic Trauma Association (OTA) 32A/B/C) treated with IMN at a level one trauma center. Inclusion criteria were acute fractures treated definitively with IMN and a minimum one-year follow-up. Patient demographics, fracture characteristics (including OTA classification), and radiographic union at one year were recorded. Radiographs were reviewed preoperatively, postoperatively, and at clinical follow-up visits. Results Interlocking screw failure occurred in 31 patients (5.6%), of whom 24 had complete one-year follow-up. A total of 185 patients were included in the final analysis (24 with and 161 without screw breakage). There were no significant differences in age (48.5 vs 46.0 years,
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