Evaluation of retrograde nailing for surgical stabilization of distal 1/3rd fracture shaft femur
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 842-846
Abstract
Background: The distal 1/3rd 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
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