International Journal of Orthopaedics Sciences

Retrospective study of clinical profile and outcome of patients with distal femoral fractures managed by retrograde nail in a tertiary care hospital

2020, Volume 6 Issue 4

Retrospective study of clinical profile and outcome of patients with distal femoral fractures managed by retrograde nail in a tertiary care hospital

Author(s): Dr. Syed Mohsin, Dr. Ajith Kumar KS and Dr. Sreeranga N
Abstract: The distal third femoral fractures constitute 6% of all femoral fractures. These fractures pose a great challenge in management due to the involvement of soft tissue injury, intra-articular extension, and injury to the extensor mechanism [1]. They have bimodal age distribution; in the older population who are already osteoporotic distal femoral fractures occur predominately after low-energy trauma like falls and sprain injuries and have complications associated with comorbidities. In young patients high-energy trauma causes complex injury with comminuted and open fracture pattern. Many patients also suffer polytrauma, soft tissue injury, ligament or meniscal tears, dissected cartilage fragments and patellar fractures [1, 2, 3]. Methods of treatment vary according to type, level of fracture and age of patient and are based on assessment of advantages and disadvantages associated with each. Although the fracture management of distal femur continues to evolve, surgery has become the standard of care for displaced fractures and for patients to obtain rapid return of knee function [4, 5]. The distal third femoral fractures are best treated with open/closed reduction and surgical stabilization with load sharing or load-bearing implants [6]. The current method of open reduction and internal fixation has become evident in the recent years with good results being obtained with the AO blade plate, dynamic condylar screw, intramedullary supracondylar nail and locking compression plate [6, 7]. While there still revolves a lot of controversy around the treatment of choice for these type of fractures, we aim to do a retrospective study of the clinical profile of the patients with distal femur fractures have an impact on the treatment outcome with the retrograde nailing.
Pages: 983-986  |  378 Views  57 Downloads
How to cite this article:
Dr. Syed Mohsin, Dr. Ajith Kumar KS, Dr. Sreeranga N. Retrospective study of clinical profile and outcome of patients with distal femoral fractures managed by retrograde nail in a tertiary care hospital. Int J Orthop Sci 2020;6(4):983-986.
 
International Journal of Orthopaedics Sciences
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