STUDY TO EVALUATE THE RESULTS OF SUPRACONDYLAR AND INTERCONDYLAR FRACTURE OF DISTAL FEMUR TREATED BY CLOSED/OPEN REDUCTION AND INTERNAL FIXATION USING RETROGRADE INTRAMEDULLARY NAIL

Dr Vivekanand Kumar; Dr (Prof). Nand Kumar; Dr (Prof). Laljee Chaudhary; Dr Rahul Kumar; Dr Kunal Shankar

Volume : X, Issue : II, February - 2020

STUDY TO EVALUATE THE RESULTS OF SUPRACONDYLAR AND INTERCONDYLAR FRACTURE OF DISTAL FEMUR TREATED BY CLOSED/OPEN REDUCTION AND INTERNAL FIXATION USING RETROGRADE INTRAMEDULLARY NAIL

Dr Vivekanand Kumar, Dr Prof . Nand Kumar, Dr Prof . Laljee Chaudhary, Dr Rahul Kumar, Dr Kunal Shankar

Abstract :

Introduction: Condylar fracture of femur is common both in elderly with osteoporotic bones and in young patients after motor vehicle accidents. Treatment of these fractures is a challenging task for most orthopaedic surgeons. This study evaluated the surgical outcome of distal femoral fractures treated with retrograde intramedullary nailing. Methodology: This study was carried out in the department of Orthopaedic surgery, Darbhanga Medical College and Hospital, Darbhanga. The surgical outcome of 20 patients who were treated with retrograde supracondylar intramedullary nailing for distal femur fractures between December 2017 to November 2018 were evaluated. All patients were assessed with regards to operative time, blood loss, shortening, angular deformity, knee range of motion, initiation of weight beå and duration of union. Every patient was assessed clinically and radiologically post operatively at every 4 wks interval till 6 months and then as the case demands for 2–24 months. Results: The mode of injury was motor vehicle accident in 16 (80%) and fall in 4 (20%) cases. 15 (75%) fractures were closed and 5 (25%) fractures were compound. Average operation time was 93.5 minutes and average blood loss was 300 ml. There were no cases of non–union; the mean union time was 2.5 months (5 – 7 months). There was 1 case of infection. There was shortening of 1.5 cm in 1 case was observed postoperatively. By the end of one year overall outcome based on functional evaluation scale developed by Lysholm knee score rating system was excellent–40%, good–40%, fair –15%, poor–05%. Conclusion: Retrograde supracondylar femoral nailing for AO/ASIF type A and type C distal femur (supracondylar) fractures is a proven and reliable method of fi xation. It also provides excellent results in selected comminuted fractures of the distal femur with a low complication rate.