scholarly journals Analytic study of functional outcome of retrograde intramedullary nailing for distal femoral fractures in adults

2021 ◽  
Vol 7 (4) ◽  
pp. 824
Author(s):  
Srujith Kommera ◽  
Pradeep Reddy ◽  
Saba Khaleel
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
X Rays ◽  
Fracture Union ◽  
Distal Femoral Fractures ◽  
Retrograde Intramedullary Nailing ◽  
Articular Fractures

<p class="abstract"><strong>Background: </strong>The purpose of this Study was to evaluate the clinical and functional outcome of retrograde intramedullary nailing for distal femur fractures.</p><p class="abstract"><strong>Methods: </strong>This 2 years observational study was done between December 2018 to January 2021, 60 patients with distal femoral fractures were surgically treated at our hospital using retrograde intramedullary nail. The patient was placed supine on fracture table with affected limb flexed to 60 degrees. Through a Transpatellar approach, the nail was introduced in retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight bearing was progressed after signs of fracture union were noted on x-rays. The outcome was evaluated for time taken for fracture union, complications and functional outcome with various types of fractures.</p><p class="abstract"><strong>Results: </strong>All the fractures in the present study healed at an average of 13 weeks. However 25 to 40% of these patients underwent bone grafting primarily with reports of delayed union and non-union. Shortening occurred in two patients (3.33%) did affect the final functional outcome. average range of motion is 120 deg. for all fractures, 119 deg. for extra-articular fractures and 118 deg. for intra-articular fractures. Infection rates are low (0% to 8%).</p><p class="abstract"><strong>Conclusions: </strong>The study shows distal femoral fractures were common due to high velocity injuries, retrograde nailing is an excellent technique for management of distal femoral fractures as it promotes high rate of fracture union with less complications.</p>

scholarly journals Retrograde intramedullary nailing for fractures of distal femur: a prospective study

2016 ◽  
Vol 2 (4) ◽  
pp. 276 ◽  
Author(s):  
Dileep K. S. ◽  
Mahesha K
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Distal Femur ◽  
Rating Scale ◽  
X Rays ◽  
Fracture Union ◽  
Retrograde Intramedullary Nailing ◽  
Interlocking Nailing ◽  
Secondary Procedures

<p class="abstract"><strong>Background:</strong> The objective of the present study was <span lang="EN-IN">to evaluate the clinical and functional outcome of retrograde intramedullary interlocking nailing for fractures of distal femur.</span></p><p class="abstract"><strong>Methods:</strong> This two-year prospective observational study includes all patients with fractures of distal femur who underwent retrograde intramedullary interlocking nailing.  The patient was placed supine on fracture table with the affected limb flexed to 60<sup>o</sup>.  Through a transpatellar approach, the nail was introduced in a retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight-bearing was progressed after signs of fracture union were noted on x-rays.  The outcome was evaluated for time taken for fracture union, complications and secondary procedures, knee range of motion and function at 1 year follow up using modified knee-rating scale of the hospital for special surgery.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 21 patients who underwent retrograde intramedullary nailing for fractures of distal femur during the study period. According to AO/ASIF system, fractures were classified as A1 (n=15), A2 (n=3), and A3 (n=3). In 17 patients, fracture united without complications or secondary procedures. Fractures united at a mean time of 19.4 weeks. There were no varus or valgus malalignments but one patient had significant limb shortening. At the end of 1 year, excellent to good functional outcome was noted in 81% of patients. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Retrograde intramedullary nail fixation is a reliable method for treatment of fractures of distal femur. It promotes high rates of fracture union with minimal complications. This method does not interfere significantly with the knee function postoperatively.</span></p>

A76 Retrograde intramedullary nailing vs. plating in treatment of extrarticular distal femoral fractures: a comparative study

Injury ◽  
2011 ◽  
Vol 42 ◽  
pp. S20-S21
Author(s):  
C. Rossas ◽  
D. Nikolopoulos ◽  
S. Liarokapis ◽  
I. Platanitis ◽  
G. Karatzas ◽  
...  
Keyword(s):  
Comparative Study ◽  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Distal Femoral Fractures ◽  
Retrograde Intramedullary Nailing

Sa4.11 Pedobarographic analysis of distal femoral fractures treated by retrograde intramedullary nailing

Injury ◽  
2013 ◽  
Vol 44 ◽  
pp. S26
Author(s):  
O. Poyanli ◽  
M. Güven ◽  
O. Kocadal ◽  
F. Türkmensoy ◽  
T. Özler ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Distal Femoral Fractures ◽  
Retrograde Intramedullary Nailing

Functional outcome of retrograde intramedullary nailing for femoral fractures

2001 ◽  
Vol 11 (1) ◽  
pp. 29-33 ◽  
Author(s):  
T. Nakamura ◽  
K. Yokoyama ◽  
Y. Saita ◽  
S. Aoki ◽  
T. Tsukamoto ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Retrograde Intramedullary Nailing

scholarly journals A prospective study of treatment of distal femur fractures with locking condylar plate

2017 ◽  
Vol 3 (6) ◽  
pp. 1117 ◽  
Author(s):  
Y. Bhanu Rekha ◽  
N. Brahmananda Reddy
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Dynamic Compression ◽  
Femoral Fractures ◽  
Type A ◽  
X Rays ◽  
Distal Femoral Fractures ◽  
Articular Fractures ◽  
Type C ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Multiple implants are available to treat distal femoral fractures. The recent addition is the locking plate contoured to the distal femur with combiholes in the proximal portion. Though it is established that locking plates offer higher stability than the previous implants like dynamic compression screw or condylar buttress plate, some studies showed higher incidence of delayed union. We evaluated 30 type A and type C distal femoral fractures treated with locking condylar plate in our institutes.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We conducted a prospective study on 30 consecutive patients with fractures of distal femur operated with locking condylar plate from December, 2015 to February, 2017. Patients were regularly followed up with x-rays and clinical examination. At the end of one year follow-up, patients were evaluated with Pritchett score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Fracture union was seen in all patients. Union was faster in type A fractures than in type C intra articular fractures. 67% of patients achieved excellent to good grading according to Pritchett rating system. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Locking condylar plate is effective in treating distal femoral fractures with minimal complications.</span></p>

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