Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur.

Leung, Ka Lau; Shen, WY; So, W. S.; Mui, L T; Grosse, A

doi:10.2106/00004623-199173030-00003

Cited by 138 publications

(60 citation statements)

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“…The most common type of fracture pattern was type A2, extraarticular simple supracondylar, displaced with some fragmentation. It was comparable to the study of Leung [4] which showed an almost similar distribution of the fracture pattern. One patient in our series was a type C3 fracture.…”

Section: Discussionsupporting

confidence: 89%

“…Two patients (10%) both with comminuted segmental fracture pattern required 11 weeks for full weight bearing. Average time to full weight bearing in our series was 7.5 weeks which was comparable to other studies [4,16]. Union was defined clinically as the patient could walk unaided without crutches and there was no pain at the fracture site and radiologically, the union was defined as the formation of the continuous bridging callus.…”

Section: Discussionsupporting

confidence: 84%

“…Lack of physiotherapy and early weight bearing was a major factor. Leung [4] reported a similar case in his series. Knee stiffness occurred in one patient; a case of C2 comminuted segmental fracture.…”

Section: Discussionmentioning

confidence: 71%

“…The conventional treatment for supracondylar fracture of the femur is open reduction with plates and screws. Considerable dissection of the thigh is required with resultant devascularization of the distal fragment leading to a high rate of complications including delayed union, nonunion, failure of the implant and infection [4]. To counteract the problems assaulted with blade and plate fixation, the concept of closed intramedullary nailing evolved.…”

Section: Introductionmentioning

confidence: 99%

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A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

Aparajit

2016

Int J of Biomed & Adv Res

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Aims and Objective: To study the incidence and pattern of supracondylar femur fractures according to AO/ASIF classification, to assess the treatment and long-term functional outcome for supracondylar femoral fracture using retrograde nail. Methods: In the present study twenty supracondylar femur shaft fractures were treated by retrograde nail. Of these, four were females and sixteen were males, in the age group of 20 to 70 years. Fractures were classified according to Muller's. 40% were Type A2 fractures, 20% were Type A3, 20% were Type C1, 15% were Type C2 and 5% were Type C3. All the cases were operated with retrograde intramedullary nailing using patellar splitting approach. Results: Most common mechanism of injury was motor vehicles accidents associated with high energy trauma 12 cases (60%). Five were open fractures whereas fifteen were closed. The fractures were comminuted in 30% cases whereas 30% presented with a transverse pattern. 25% were oblique fractures and only one spiral fracture occurred in our series. The average range of knee motion in our series was 92.5 degrees. Knee stiffness occurred in one patient of type C3 fracture. There were two cases of significant shortening, one was 1.8 cms and the other was 3.1 cms, both occurred in type C2 comminuted fractures, it did not cause any morbidity and was corrected by shoe raise. The risk of infection and non-union were low. The incidence and severity of significant malunion was nil. It offers a short hospital stay, early mobilization and predictable healing. Conclusion: Supracondylar nail is an excellent option for management of supracondylar femur fractures even in those with intercondylar extension.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

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A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

Aparajit

2016

Int J of Biomed & Adv Res

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“…(19) However, Leung et al concluded that in the most distal fractures the standard ante grade nails would not be able to provide adequate control. (20) Retrograde supracondylar nailing for distal femur fractures with use of a distal intercondylar intra-articular entry portal was introduced two decades back. (3,21) This method of treatment protects the soft -tissue envelope due to its minimal invasive approach and closed reduction technique.…”

mentioning

confidence: 99%

Retrograde Intramedullary Interlocking Nail: An Optimal Tool for the Treatment of Supracondylar Femoral Fractures

Kamareddy¹,

Bharadwaj²

2014

jemds

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BACKGROUND:This prospective consecutive case series was done to evaluate indications, technical pearls and pitfalls and functional outcomes of distal femoral supracondylar fractures treated with retrograde intramedullary nailing. METHODS: The surgical outcome of 80 patients (59 males and 21 females) who were treated with retrograde intramedullary nailing for. Patients were followed-up both clinically and radiologically every 6 weeks for a mean duration of 20 (12 -24) months. The patients were assessed based on Schatzker and Lambert criteria. RESULTS: The mechanism of injury was motor vehicle accident in 48 (60%) patients and fall in 32 (40%) patients. Sixty four (80%) fractures were closed and 16 (20%) fractures were compound. Average operation time was 2 hours and average blood loss was 300 ml. The mean union time was 5.6 months (5 -7 months). Knee flexion of more than 120 degree was achieved in 60 patients, 110 degree in 16 patients and 100 degree in 2 patients. Six patients had anterior knee pain of transient nature which subsided within one year after rehabilitation, full weight bearing and self exercises. By the end of 1 year, overall outcome was excellent in 59 patients (74%), good in 12 patients (15%) and fair in 8 (10%) patients. CONCLUSION: Retrograde intramedullary femoral nailing is an optimal tool in the treatment of AO/ASIF type A and type C distal femur (supracondylar) fractures. It provides rigid fixation in a region of femur where, wide canal, thin cortices and frequently poor bone stock make fracture fixation difficult. It also provides excellent results in selected comminuted fractures of the distal femur with a low complication rate.

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Complications mécaniques, pseudarthroses et cals vicieux

Bredonchel

2005

Fractures Du Genou

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Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur.

Cited by 138 publications

References 0 publications

A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

Retrograde Intramedullary Interlocking Nail: An Optimal Tool for the Treatment of Supracondylar Femoral Fractures

Complications mécaniques, pseudarthroses et cals vicieux

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