Outcome of Retrograde Nailing in the Treatment of Extra Articular Supracondylar Femur Fractures

2021 ◽  
Vol 15 (12) ◽  
pp. 3405-3406
Author(s):  
Umair Ahmad ◽  
Umair Ahmed ◽  
Majid Zaheer ◽  
Ahmed Sadaqat ◽  
Zubair Khalid ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Femoral Shaft ◽  
Retrograde Nailing ◽  
Supracondylar Fractures ◽  
Femur Fractures ◽  
The Mean ◽  
Spinal Epidural ◽  
Keywords Femur Fracture ◽  
Keywords Femur ◽  
Supracondylar Femur Fractures

Objective: To find out outcome of retrograde nailing in the treatment of extra articular supracondylar femur fractures. Study Design: A prospective observational study. Place and Duration of the Study: The Department of Orthopedic Surgery, Ghurki Hospital, Lahore, Pakistan from January 2020 to August 2021. Methodology: A total of 92 patients of both genders aged 18 to 50 years with supracondylar femur fractures and supracondylar fractures with fracture line extending to distal third of femoral shaft were enrolled. Retrograde nailing was performed among all patients. Surgery time and functional outcome were noted. All surgeries were accomplished under spinal/epidural or general anaesthesia. Results: Out of a total of 92 patients, there were 59 (64.1%) were male and 33 (35.9%) female. Overall, the mean age of patients was 33.12±9.08 years. The mean surgery time was noted to be 85.29±7.48 minutes. A total of 85 patients completed the designated period of 12-weeks for the evaluation of functional outcome. Excellent outcomes were observed in 47 (55.3%) cases, good 25 (29.4%), fair 9 (10.6%) and poor in 4 (4.7%) cases. Excellent to good outcomes were observed in 72 (84.7%) cases. Conclusion: Retrograde nailing had good outcomes in the treatment of extra articular supracondylar femur fractures. Keywords: Femur fracture, nailing, surgery time, functional outcome.

Comparison of Outcome with RNVL Compressive Plating in the Treatment of Extra Articular Supracondylar Femur Fractures

2021 ◽  
Vol 15 (12) ◽  
pp. 3410-3412
Author(s):  
Umair Ahmed ◽  
Umair Ahmad ◽  
Majid Zaheer ◽  
Ahmed Sadaqat ◽  
Zubair Khalid
Keyword(s):  
Functional Outcome ◽  
Prospective Trial ◽  
Study Groups ◽  
Retrograde Nailing ◽  
Femur Fractures ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Keywords Femur ◽  
Supracondylar Femur Fractures

Objective: To compare outcome of retrograde nailing versus locked compressive plating in the treatment of extra articular supracondylar femur fractures. Study Design: A randomized prospective trial. Place and Duration of the Study: Department of Orthopedic Surgery, Ghurki Hospital, Lahore, Pakistan from January 2020 to November 2021. Methodology: A total of 160 (80 in each group) patients aged between 18 to 50 years of both genders with extra articular supracondylar femur fractures were randomized into either retrograde nailing group (Group-A) or locked compressive plating (Group-B). Surgery time and functional outcome were compared in both groups. Demographic characteristics along with mean surgery time and functional outcomes were compared between both study groups. Results: In a total of 160 patients, mean age was 33.57±9.45 years. The mean age in Group-A was 33.24±8.61 years and in Group-B 33.90±10.26 years. In group-A, there were 49 (61.25%) male and 31 (38.75%) female cases while in group-B there were 56 (70%) male and 24 (30%) female cases. The mean surgery time in group-A was significantly less as compared to group-B (83.29±7.48 minutes vs. 106.62 ± 7.69 minutes, p<0.01). The frequency of excellent to good outcome was statistically higher in Group-A as compared to Group-B (p< 0.05). Conclusion: Retrograde nailing gave better results in the treatment of extra articular supracondylar femur fractures when compared with locked compressive plating. Retrograde nailing can be opted to reduce the surgery time and gain better functional outcome. Keywords: Femur fracture, nailing, plating, surgery time, functional outcome

scholarly journals DISTAL FEMORAL SHAFT FRACTURES

2018 ◽  
Vol 25 (03) ◽  
pp. 359-363
Author(s):  
Tawfeeq Safi Sarraj ◽  
Jehan Zaib Shah
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Femur Fractures ◽  
Supracondylar Femoral Fractures ◽  
The Mean ◽  
Prospective Case Series ◽  
Mean Time ◽  
Supracondylar Femur Fractures

Objectives: To assess the functional outcome in supracondylar femur fracturesfixed with intramedullary tibial nail. Study Design: Prospective case series. Setting: Al Noorspecialist hospital, Makkah, Saudi Arabia. Period: Four years (2009-2013). Methods: 25patients with closed supracondylar femoral fractures operated with tibial intramedullary nail. Thefunctional outcome was measured by Tegner Lysholm criteria during and after 4 years. Results:Out of 25 patients 20 were male and 5 were female. The mean time of healing was 15.80(2.646)weeks. 6(24%) patients showed excellent results, 12(48%) patients showed good results and7(28%) patients showed fair results. There were no poor results in our study. Conclusions:Retrograde tibial nails are cheaper, convenient and lead to good functional outcome in patientswith supracondylar femur fractures.

Use of Vascularized Fibular Free Flap in the Reconstruction of the Femur in Pediatric and Adolescent Bone Sarcomas: Complications and Functional Outcome

2018 ◽  
Vol 35 (02) ◽  
pp. 156-162 ◽  
Author(s):  
Magdy Sherbiny ◽  
Nehal Kamal ◽  
Ahmed Ghoneimy
Keyword(s):  
Functional Outcome ◽  
Free Flap ◽  
Average Length ◽  
Femoral Shaft ◽  
Wide Resection ◽  
Level Of Evidence ◽  
Bone Sarcomas ◽  
Fibular Free Flap ◽  
The Mean ◽  
Resected Femoral

Background Most reports on skeletal reconstruction using vascularized fibular free flap include patients with varying age groups and anatomic locations. This study has limited the inclusion criteria to pediatric and adolescent patients diagnosed with bone sarcoma of the femoral shaft. Methods Forty-one patients, diagnosed with a malignant bone tumor of the femoral shaft (21 Ewing's sarcomas and 20 osteosarcomas), were locally treated by joint sparing wide resection and reconstruction using a vascularized fibular free flap. All clinical and radiographic data were reviewed for graft healing and hypertrophy as well as oncologic and functional outcome. Results The mean follow-up period was 48.7 months (12–104 months). The mean age at presentation was 10.3 years (5–17 years). The average length of the resected femoral shaft was 19.2 cm (15–24 cm) and the average length of the harvested fibula was 17.4 cm (15–21 cm). The mean time to union was 4.8 months (1–6 months) and the mean hypertrophy index was 78% (15.5–184%). Complications included 12 fractures (33.3%), 5 non-unions (13.8%), and 5 failures of graft hypertrophy (13.8%). At the latest clinical evaluation, the mean MSTS score was 81% (56–100%) and the mean limb length inequality was 4.75 cm (3–11 cm). Conclusion Despite the high functional demand and deleterious effect of chemotherapy on bone healing, reconstruction of the femur by vascularized fibular free flap in pediatric bone sarcomas can lead to a good functional outcome. Complications, such as fracture and non-union, can be successfully treated by revision of fixation and autologous iliac crest grafting. Level of Evidence IV.

Long term functional outcome of operatively treated supracondylar femur fractures

1999 ◽  
Vol 13 (4) ◽  
pp. 280
Author(s):  
T Hupel ◽  
E H Schemitsch ◽  
M Nousiainen ◽  
M D McKee ◽  
D JG Stephen ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Femur Fractures ◽  
Supracondylar Femur Fractures

scholarly journals Fixator-Assisted Plating in Pediatric Supracondylar Femur Fractures

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984392
Author(s):  
Noam Bor ◽  
Nimrod Rozen ◽  
Eytan Dujovny ◽  
Guy Rubin
Keyword(s):  
External Fixator ◽  
Fixation Method ◽  
Bone Lesions ◽  
Supracondylar Fractures ◽  
Anatomical Reduction ◽  
Femur Fractures ◽  
Fractures In Children ◽  
Male Patients ◽  
Supracondylar Femur Fractures

Purpose. Pediatric femoral supracondylar fractures are difficult to reduce by either closed or open reduction. The abnormal muscle forces around the knee tend to significantly displace the distal short metaphyseal fragment. We describe a novel technique utilizing the combination of a temporarily intraoperative external fixation in order to achieve and maintain the reduction followed by internal fixation. Method. Three male patients younger than 16 years of age were operated in our department. The fractures were defined as pathological in 2 patients. In order to facilitate and maintain fracture reduction, an external fixator was temporarily used intraoperatively; once the fractures were internally fixed, the fixator was removed. Results. Anatomical reduction was achieved in all patients. In an average follow-up of 2 years, all the fractures are solidly healed and the various bone lesions are healing. All patients have returned to regular physical activity. Conclusion. Difficult supracondylar femur fractures in children are easier to manipulate and reduce with the assistance of an intraoperative external fixator. Once the fracture is internally fixed and stable, the external fixator is removed.

scholarly journals SUPRACONDYLAR HUMERUS FRACTURES;

2019 ◽  
Vol 26 (04) ◽  
Author(s):  
Fayyaz Ahmad Orfi ◽  
Asrar Ahmad ◽  
Irum Saleem ◽  
Maheen Orfi
Keyword(s):  
Functional Outcome ◽  
Posterior Approach ◽  
Operative Time ◽  
Lateral Approach ◽  
P Value ◽  
Supracondylar Fractures ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Approach Group

Objectives: To compare lateral versus posterior approach in the management of supracondylar fractures of humerus in children in terms of functional outcome. Study Design: Retrospective Comparative study. Place and Duration of Study: This retrospective study was carried out over a period of seven years from Oct 2009 to Oct 2016, at Combined Military Hospitals Kharian, Malir and Nowshera. Patients and Methods: All the children having supracondylar fracture (Gartland Type-II and III) who underwent surgical intervention either by posterior or lateral approach were included in the study. In Group-A children operated by posterior approach were placed while in Group-B children were operated by posterior approach. They were followed up in OPD after 6 months. The final functional and cosmetic outcome was assessed by using Flynn’s criteria. Data was analysed by using SPSS version -20. A p-value of less than 0.05 was considered as statistically significant. Results: A total of 104 cases were operated during this study period. Fifty-four cases were done by posterior approach (Group-A), while 50 cases were operated by lateral approach (Group-B). In Group-A the mean age was 6.1 years while in Group-B, mean age was 6.6 years. In Group-A the male to female ratio was 72:28 while in Group-B it was 64:36. The mean weight in Group-A was 19.81Kgs (SD: ±4.53) while in Group-B it was 20.44 Kgs (SD:± 3.97). The mean operative time in Group-A was 36.30 minutes (SD: ±3.32) and in Group-B it was 23.58 minutes (SD: ±2.12). The functional outcome at six months follow-up was excellent in 35 (65%), good in 8 (15%), fair in 7 (13%) and poor in 4(7%) cases in Group-A while in Group-B it was excellent in 35 (70%), good in 10 (20%), fair in 4 (8%) and poor in only one case (2%). This difference was not significant at a p-value of 0.441. Conclusion: Though lateral approach required less operative time but there was no statistically significant difference from the posterior approach comparing the functional outcome in the management of paediatric supracondylar fractures of humerus.

scholarly journals Biomechanical comparison of locked plating and spiral blade retrograde nailing of supracondylar femur fractures

Injury ◽  
2013 ◽  
Vol 44 (10) ◽  
pp. 1340-1345 ◽  
Author(s):  
Soroush Assari ◽  
Alan Kaufmann ◽  
Kurosh Darvish ◽  
Jung Park ◽  
Jonathan Haw ◽  
...  
Keyword(s):  
Retrograde Nailing ◽  
Locked Plating ◽  
Femur Fractures ◽  
Spiral Blade ◽  
Biomechanical Comparison ◽  
Supracondylar Femur Fractures
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