International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

2022, Volume 8 Issue 1

A retrospective analysis of complications following distal femoral fractures treated with retrograde supracondylar nailing and locking compression plate

Author(s): Dr. R Rajheiman, Dr. A Senthilnathan, Dr. R Prabhakar, Dr. K Vijaya Shankar and Dr. K Parasuraman
Abstract: 
Introduction: In the literature, the prevalence of distal third femoral fractures were rare among shaft of femur fractures and accounts upto <7%. In the modern era, management of these fractures have been debated with two renowned implants like Retrograde supracondylar nail (RSN) and Locked compression plate (LCP).Both the implants has its own pros and cons.
Materials and Methods: We have done a retrospective analysis of 46 patients who were operated for distal third femur fractures with RSN and LCP in last 4 years in Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram. We have taken case files of these patients and reviewed them in OPD. There were 21 RSN (45.6%) treated patients and 25 LCP (54.4%) treated patients.
Results: About10 patients (21.7%) in RSN group and 14 patients in LCP group (30.4%) had complications. Both RSN & LCP patients had similar complications except the intra articular nail protrusion (2/46), plate breakage (1/46) and plate offset (3/46).
Conclusion: Thus our study overviewed the complications and removed the barrier in approaching their management. Both nailing and plating proved to be better implants with one’s own pitfall. We conclude that proper preoperative planning before surgery aid in good results with both radiological and clinical aspects.
Pages: 13-16  |  57 Views  10 Downloads
How to cite this article:
Dr. R Rajheiman, Dr. A Senthilnathan, Dr. R Prabhakar, Dr. K Vijaya Shankar, Dr. K Parasuraman. A retrospective analysis of complications following distal femoral fractures treated with retrograde supracondylar nailing and locking compression plate. Int J Orthop Sci 2022;8(1):13-16. DOI: 10.22271/ortho.2022.v8.i1a.2983
International Journal of Orthopaedics Sciences