Vol. 6, Issue 3 (2020)
Evaluation of short term complications following use of retrograde intramedullary femoral interlocking nail for fractures of distal femur
Author(s):
Dr. Lokesh Kumar Yogi, Dr. Gagandeep Mahi and Dr. Milind Atmaram Lokhande
Abstract:
Background: Supracondylar fractures of femur constitute 6-7% of all femoral fractures. In elderly patients, they are invariably low-energy fractures predisposed by osteoporosis. Aim of this article is to assess the complications of retrograde intramedullary femoral interlocking nail (RIFIN).
Materials and methods: The study was conducted at a tertiary health care centre, cases were selected from November 2017 to December 2018. This prospective study was performed on 37 patients with supracondylar femoral fractures (AO type A and C).
Results: Complications in our study included knee stiffness in 8 patients, anterior knee pain in 6 patients, shortening (1-2cm) in 3 patients, 3 patients had implant failure due to early weight bearing ambulation (one patient had distal screw back-out, one patient distal screw breakage and one patient had nail breakage), 2 patients had non-union (in which one patient had infected non-union), one patient had peri-implant fracture and one patient had protruding nail.
Conclusion: RIFIN is mostly limited for use in extra-articular distal femoral fractures. Although it has a high incidence of complications, it requires a greater amount of attention to the operative technique and patient selection in order to prevent these complications.
Pages: 149-152 | 2188 Views 404 Downloads
How to cite this article:
Dr. Lokesh Kumar Yogi, Dr. Gagandeep Mahi and Dr. Milind Atmaram Lokhande. Evaluation of short term complications following use of retrograde intramedullary femoral interlocking nail for fractures of distal femur. Int. J. Orthop. Sci. 2020;6(3):149-152. DOI: 10.22271/ortho.2020.v6.i3c.2194