Typically, fractures of the distal femur occur in high-energy trauma in a young patient or a fall at home in an older individual. The retrograde intramedullary nail and locking compression plate are two treatment options for distal femur fractures. Stabilizing mechanisms based on biological osteosynthesis may be found in each of these systems. It was the goal of this research to compare the outcomes of distal femur fracture stabilisation using RN and LP methods. We set out to see how each fixation technique performs in terms of operational time, recovery time, knee range of motion (ROM), and complications. Methods: What we used and how we did it The functional and radiological outcomes of 32 patients with distal femoral fractures were evaluated in a prospective randomised clinical trial. Retrograde Intramedullary Nail was used to fix Group 1. a distal femur-locked plate fixed Group 2. As a consequence, while the retrograde nail took less time to operate and caused less blood loss, there was no significant difference between the two groups in terms of LEFS, knee range of motion, or overall outcomes and complications. This research found that, when compared to other studies, an acceptable result could be obtained using both approaches. The nail, however, demonstrated a higher union rate and a lower surgical morbidity in our sample of patients.
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