Limb Malalignment and Functional Outcome After Antegrade Versus Retrograde Intramedullary Nailing in Distal Femoral Fractures

Salem, Khaled Hamed; Maier, Dirk; Keppler, P.; Kinzl, L.; Gebhard, Florian

doi:10.1097/01.ta.0000230282.65606.81

Cited by 52 publications

(32 citation statements)

References 29 publications

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“…[1][2][3][4][5] Inability to recognize the variability of normal femoral version from patient to patient may lead to such outcomes, which have clinical and biomechanical implications. In fact, the rate of malrotation after fixation may be as high as 27.6%.…”

Section: Introductionmentioning

confidence: 99%

Femoral Version of the General Population

Koerner

Patel

Yoon

et al. 2013

Journal of Orthopaedic Trauma

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Section: Introductionmentioning

confidence: 99%

Femoral Version of the General Population

Koerner

Patel

Yoon

et al. 2013

Journal of Orthopaedic Trauma

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“…Although the intramedullary nailing reduces the frequency of angular deformity for femur diaphyseal fractures, angular malalignment has been reported to occur at a frequency of up to 42% in studies on distal femoral metaphyseal fractures11,17,18). These were mostly varus angulations caused by incomplete facture reduction, which is well known in distal femoral fractures because of adductor muscle pull, a laterally applied injury force, and medial comminution, which is commonly associated.…”

Section: Discussionmentioning

confidence: 99%

The Use of a Ti-Ni Shape Memory Alloy Ring Bone Fixator During the Retrograde Nailing of Supracondylar Femoral Fractures

Han

Kim

Kang

2011

Knee Surg Relat Res

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PurposeTo identify the effects of using a Ti-Ni shape memory alloy ring shaped bone fixator (SMA-rBF) during the retrograde nailing of supracondylar femoral fractures.Materials and MethodsThe authors reviewed 25 patients with a supracondylar femoral fracture treated by retrograde intramedullary nailing with or without SMA-rBF (group S, 12/25; group N, 13/25). Radiological measurements of angular deformity were performed and functional assessments were made using the Sanders grading system.ResultsAll fractures healed after an average of 12.2 weeks (range, 9-15 weeks) in group N and after 11.6 weeks (range, 10-13 weeks) in group S (p=0.351). The mean angle of coronal angular deformity was valgus 0.8° (range, varus 2.3°-valgus 4.5°) in group N and valgus 0.7° (range, varus 1.0°-valgus 2.4°) in group S (p=0.892). The mean angle of sagittal angular deformity was 1.0° in extension (range, flexion 3.2°-extension 3.1°) in group N and 0° (range, flexion 2.1°-extension 1.2°) in group S (p=0.022). However, functional grading evaluations revealed no differences between the two groups.ConclusionsWhen reduction of a distal femoral fracture with retrograde nailing was difficult additional mini-open reduction and fixation with a ring shaped SMA did not delay or prevent bony union and resulted in good postoperative alignment.

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“…The rate of malrotation following IM nailing may be as high as 27.6% [14][15][16][17][18]. Intraoperative methods for assessing rotation include lesser trochanter profile, cortical thickness, as well as clinical comparison to the opposite side have been described [19][20][21].…”

Section: Introductionmentioning

confidence: 99%