Intramedullary Fixation Of Femur Fractures - A Study On Outcome Assessment
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Purpose Distal femur fractures are complex in nature and need special management. Because of the proximity of these fractures to the knee joint, regaining full knee motion and function may be difficult. The present study is being undertaken to evaluate the results of intramedullary fixation for distal femur fractures with or without intra-articular extension. Methods Seventy nine cases of distal femur fractures with or without intra¬articular extension treated by intra- medullaiy nail in the department of Orthopaedics, Dayanand Medical College and Hospital, Ludhiana, over a period of five years (1st January 1997 to 31st December 2001) were studied. Out of seventy nine cases, forty six cases are of distal femoral fractures could be followed up for atleast four months or till fracture union were considered for final evaluation. Results Average age of study patients was 44.80 years, most were males (75%). Majority of the fractures were compound (71.25%), and (67.08%) had intra-articular extension. Surgery was done by open technique in most (75.9%). All the closed fractures united at an average of 3.2 months and compound fractures united with an average of 4 months. Nonunion was 8.4% and infection was 13.03%, all in the open fractures.Average range of motion at knee joint was 107.5°. Three patients had flexion of less than 90°. Conclusion Intramedullary fixation for fractures of femur gives good results with acceptable complication rate and has proved superior to other methods available today.
Authors and Affiliations
Aarti Deewan
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