Table 2

Characteristics of patients with IMN removed because of symptomatology*

CharacteristicIMN status; no. (and %)p value
Removed 29 fractures (29 pts)Not removed 92 fractures (90 pts)
Overall rate,% (ratio)23.97 (29/121)
Time, mean (range) mo25.19 (5.29–77.62)
Age, mean (range) y33.8 (17.1–68.6)37.2 (17.0–70.8)p = 0.37
Sexp ≤0.05
χ2 = 4.50
 Male15 (51.7)67 (72.8)
 Female14 (48.3)25 (27.2)
Weight, mean (range) kg72 (52–91)77 (50–115)p = 0.07
Height, mean (range) m1.71 (1.55–1.88)1.74 (1.46–1.91)p = 0.15
BMI, mean (range) kg/m224.35 (19.31–32.47)24.4 (16.98–40.75)p = 0.17
Age groupings, yp ≤1
χ2 = 3.01
 15–3015 (11.26)32 (35.74)
 31–4911 (12.70)42 (40.30)
 50–703 (5.03)18 (15.97)
Locking bolt only and sexp ≤1
χ2 = 1.09
 Male7 (8.53)67 (65.46)
 Female5 (3.46)25 (26.54)
Entire IMN and sexp ≤0.05
χ2 = 4.44
 Male8 (11.70)67 (63.30)
 Female9 (5.30)25 (28.70)
Fracture locationp ≤1
χ2 = 0.96
 Proximal 1/32 (1.44)4 (4.56)
 Middle 1/312 (14.14)47 (44.86)
 Distal 1/315 (13.42)41 (42.58)
WCBp ≤1
χ2 = 0.47
 Claim involved3 (2.16)6 (6.84)
 Claim not involved26 (26.84)86 (85.16)
Insurancep ≤1
χ2 = 0.03
 Claim involved8 (8.39)27 (26.61)
 Claim not involved21 (20.61)65 (65.39)
Litigationp ≤0.01
χ2 = 8.21
 Litigation involved13 (7.19)17 (22.81)
 Litigation not involved16 (21.81)75 (69.19)
Level of activity/employmentp ≤1
χ2 = 0.67
 Sedentary/light17 (15.10)46 (47.90)
 Moderate6 (7.19)24 (22.81)
 Heavy6 (6.71)22 (21.29)
Diameter of IMN, mmp = 0.23
 Average9.9710.283
 8–910 (7.43)21 (23.57)p ≤1
χ2 = 1.75
 108 (8.14)26 (25.85)
 11–1311 (13.42)45 (40.30)
Obese v. nonobesep ≤1
χ2 = 0.03
 Obese (BMI > 25)12 (12.46)40 (39.54)
 Nonobese (BMI < 25)17 (16.54)52 (52.46)
Mechanism of injuryp ≤0.20
χ2 = 1.93
 High energy9 (12.22)42 (38.78)
 Low energy20 (16.76)50 (53.22)
  • BMI = body mass index; pts = patients; IMN = intramedullary nail; WCB = Workers’ Compensation Board.

  • * 121 fractures; 119 patients.

  • Unless otherwise indicated.