European Journal of Molecular & Clinical Medicine

Background: The distal 1/3^rd femoral fractures constitute 6% of all femoral fractures. The present study was conducted to evaluate results of retrograde nailing for surgical stabilization of distal 1/3rd fracture shaft femur.
Materials & Methods: 58 patients of distal 1/3rd fractures of femu rof both gender were treated by retrograde nailing. Parameters noted were mode of injury, type of fracture, ROM, time from injury, duration of the surgery, time for fracture healing, and functional assessment by Lysholm knee scoring etc.
Results: Out of 58 patients, 32 were males and 26 were females. Mode of injury was RTA in 32, sports injury in 12, fall in 8 and others in 6 patients. Fracture type was closed in 30 and compound in 28 cases. Mean flexion at knee (degree) at 1 month was 42.6, at 3 months was 90.2, at 6 months was 112.5 and at 12 months was 121.4. The difference was significant (P< 0.05). Lysholm knee scoring was excellent in 36, good in 14 and fair in 8 patients. The difference was significant (P< 0.05).
Conclusion: Authors found that retrograde nailing for surgical stabilization of distal 1/3rd fracture shaft femur is adequate treatment options for distal femur fractures

Background:Distal femur fractures occur following high-energy impact in young
patients or low-energy injury in elderly patients with osteopenic or osteoporotic
bone.This study is aimed to compare the results of retrograde Nailing versus plating
technique in distal femoral fractures regarding both clinical and radiological
alignment. Patients and methods:This study was conducted on 18 patients with
distal femoral fractureswho divided into two groups; Group A treated by retrograde
femoral nail (RGN) and group B treated by Plating technique. All patients were
subjected to clinical and radiological measurements to assess the outcomes after
surgery. Results:Clinical measurements in normal limb was 4.66±1.32 in
retrograde nail group while it was 4.88±1.58 in plating group, the MAD in
fractured limp clinically was 5.38±1.89 in retrograde nail group while it was
6.48±2.31 in plating group. The radiological MAD showed significant difference
between the normal and operated side. Mechanical Lateral Distal Femoral Angle
(mLFDA) in fractured limb was 88.66±2.54 in retrograde nail group while it was
89.33±3.67 in plating group (P=0.663). Medial Proximal Tibial Angle (MPTA) in
fractured limb was 87.77±1.85 in retrograde nail group while it was 87.88±3.48 in
plating group. In spite of the excellent results in RGN group compared with group
(B), the overall results showed no significant difference statistically between the two
groups. Conclusions: Retrograde nailing is a good fixation system for fractures of
distal femur with better outcome in terms of range of movements, less infection rate
and early mobilization.