Treatment of the Distal Femur Fracture with Retrograde Intramedullary Nailing.
10.12671/jkfs.2005.18.3.238
- Author:
Moon Jib YOO
1
;
Myung Ho KIM
;
Hee Gon PARK
;
Woo Sup BYUN
;
Ki Choul KIM
Author Information
1. Department of Orthopaedic Surgery Dankook University College of Medicine, Cheonan, Korea. heegon@chollian.net
- Publication Type:Original Article
- Keywords:
Distal femur fracture;
Retrograde intramedullary nailing
- MeSH:
Accidents, Traffic;
Classification;
Femur*;
Follow-Up Studies;
Fracture Fixation, Intramedullary*;
Humans;
Range of Motion, Articular;
Sex Distribution
- From:Journal of the Korean Fracture Society
2005;18(3):238-243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results and complications of the retrograde intramedullary nailing for the treatment of distal femur fracture. MATERIALS AND METHODS: Thirty three patients who received retrograde IM nailing for fractures of the distal femur between October 1998 to December 2003. Average age was 53.8+/-17 (17~86) years. The average follow up period was 19.4 (12~36) months. Clinical information included age, sex distribution, associated fracture and fracture was classified by AO classification. Functional result was evaluated by Schatzker's criteria. RESULTS: The most common cause of injury was traffic accident (60%). The type of fracture were 6 A1 cases, 5 A2 cases, 11 A3 cases, 5 C2 cases, 6 C3 cases by AO classification. Among the 33 cases, 15 cases were excellent, 9 good, 6 fair and 1 failure according to Schatzker's criteria. Average union time was 9.7+/-3.5 months. CONCLUSION: Treatment of distal femur fracture with retrograde intramedullary nailing was useful due to its minimal invasiveness and early range of motion, more rigid fixation.
