Abstract | PURPOSE: MATERIALS AND METHODS: A retrospective review performed at an urban level one trauma center identified 16 patients AO/Orthopedic Trauma Association (OTA) 33-C2 and 33-C3 femur fractures treated with open reduction, lag screws, and retrograde intramedullary nail fixation. Radiographic union, complications, secondary operations were reviewed. RESULTS: At the 3-month follow-up 12 (86%) of the 14 patients with radiographs had healed. At last follow-up, all 16 femur fractures achieved radiographic union after the index procedure. No patient required a revision procedure for delayed union or nonunion. Complications occurred in 6 (38%) patients, including failed distal interlocking screws (n = 2), knee arthrofibrosis (n = 3), superficial wound infection (n = 1), and wound dehiscence (n = 1). Three (19%) patients required secondary procedures, which included knee manipulation under anesthesia (n = 3), distal interlocking screw removal (n = 2), and closure of a wound dehiscence (n = 1). CONCLUSIONS: Comminuted intra-articular distal femur fractures that can be successfully treated with retrograde IMN fixation will reliably go on to union with a complication rate that is favorable to that reported for plate fixation. LEVEL OF EVIDENCE: Level IV, retrospective case-series.
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Authors | Samantha Nino, Joshua A Parry, Frank R Avilucea, George J Haidukewych, Joshua R Langford |
Journal | European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
(Eur J Orthop Surg Traumatol)
Vol. 32
Issue 8
Pg. 1577-1582
(Dec 2022)
ISSN: 1432-1068 [Electronic] France |
PMID | 34623470
(Publication Type: Journal Article)
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Copyright | © 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature. |
Topics |
- Humans
- Fracture Fixation, Intramedullary
(adverse effects, methods)
- Retrospective Studies
- Fractures, Comminuted
(diagnostic imaging, surgery)
- Femoral Fractures
(diagnostic imaging, surgery)
- Postoperative Complications
- Femur
(diagnostic imaging, surgery)
- Treatment Outcome
- Bone Nails
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