Outcome of Retrograde Interlocking Intramedullary Nailing for Fracture Shaft of Femur and Extra-articular Distal Femur
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Retrograde nailing represents an established fixation method for fractures of the distal femur and offers in femoral shaft fractures an alternative to the existing technique of antegrade nailing. The aim of this study was to investigate in a prospective analysis the results of retrograde nailing in extra-articular distal femoral fractures and femoral shaft fractures. Emphasis was posed on the long-term functional outcome, especially in daily activities. Materials and Methods: Retrograde femoral nailing was used from November 2015 to December 2016 in Government Medical College Hospital for the treatment of selected distal femoral (AO/ASIF-type 33) and femoral shaft fractures (AO/ASIF - type 32) in 20 patients with 20 fractures. The mean age of patients was 42.7 years (minimum: 21/maximum: 103) and 70, 7% presented with ipsilateral local pathologies or associated entities. Results: Osseous healing occurred in 13.7 weeks on an average. Post-operative complications requiring reintervention were seen in 2/20 (14.6%) fractures. All patients were evaluated with a mean follow-up period of 6 months using the functional score of the modified knee-rating system based on knee-rating scale of “The Hospital for Special Surgery.” Results of study were graded as excellent, good, fair, and poor according to the criteria of knee-rating scale of “The Hospital for Special Surgery.” There were 7 (35%) excellent, 11(55%) good, 1(5%) fair, and 1 (5%) poor results. Conclusion: Retrograde nailing represents a reliable fixation method for extra-articular (33-A1-3) fractures of the supracondylar area. In femoral shaft fractures, retrograde inserted nails offer a valuable alternative, especially when the proximal femoral approach is obstructed.
Authors and Affiliations
Rajinder Singh, Sumeet Singh Charak, Mohinder Singh Chib, Khalid Muzafar, Mohd Haseeb
Keywords
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