Study on effectiveness of retrograde nailing with long intramedullary supracondylar nail for shaft and supracondylar fractures of femur
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 1
Abstract
Introduction Due to modern lifestyle changes the incidence of distal femur fractures has risen and more so in association with shaft fractures of femur because of fast world and high velocity trauma occurring in road traffic accidents Dilemma arises when we face distal third shaft and associated supracondylar or intercondylar fracture of femur The aim of this study is to remove the hesitancy of performing retrograde nailing by long IMSC nail without any complicationsMaterials and Methods A prospective study of 150 patients with fracture of femur shaft and supracondylar fractures was done They were treated by using this technique from January 20032017 These patients were followed up till fracture union amp evaluated further postoperatively for finding its benefitsResults In our study the mean age of patients was 35 years 653 were males and 347 were females The mode of injury in case of majority of the patients had RTA road traffic accident 93 patients 62 In the present surgical and technical related complications were encountered in 10 patients 67 Our patients had a mean value of 80 points according to Neer scoreConclusions We conclude that retrograde long IMSC nail is reliable as an alternative for conventional procedures like antegrade nailing and plate fixation in femoral fracture shaft and supracondylar region It is especially beneficial in conditions like osteoporosis pregnancy amp previous implant or prosthesis on ipsilateral side and ankylosed hip Retrograde nailing can be done on simple radioluscent top operating tables which are commonly available everywhereKeywordsnbspFemur shaft fractures Supracondylar femur fractures Retrograde long IMSC nailing Fracture union
Authors and Affiliations
Shashikant B Ganjale, Neha Agarwal
Keywords
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- EP ID EP476577
- DOI 10.18231/2395-1362.2018.0006
- Views 83
- Downloads 0
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