Retrograde Multilocking Nailing for Infraisthmic Distal Femur Fractures: A Retrospective Study
Aim and background: Retrograde femur nailing for infraisthmal femur fractures is an excellent option because of its multilocking options distally, minimally invasive technique, greater stability, and easy rehabilitation. It can also be used for osteoporotic individuals. In this article, we discuss t...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2025-07-01
|
| Series: | Journal of Orthopedics and Joint Surgery |
| Subjects: | |
| Online Access: | https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1206 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Aim and background: Retrograde femur nailing for infraisthmal femur fractures is an excellent option because of its multilocking options distally, minimally invasive technique, greater stability, and easy rehabilitation. It can also be used for osteoporotic individuals. In this article, we discuss the techniques of distal femur nailing with five multidirectional interlocking screws, its advantages for infraisthmal femur fractures, and the outcomes of patients who underwent this procedure.
Materials and methods: Forty patients were included in our study who were operated on between January 2020 and December 2022. Nineteen males and twenty-one females participated in this study. All had closed fractures; 36 were extra-articular, and 4 were simple intra-articular fractures. Inclusion criteria include all infraisthmal diaphyseal fractures, metaphyseal fractures, and simple intra-articular fractures. Exclusion criteria include complex intra-articular fractures and open fractures.
Results: All patients had complete healing between 12 and 20 weeks, with a mean healing time of 14.4 weeks. Functional outcomes were evaluated using the knee injury and osteoarthritis outcome score (KOOS). The average KOOS for our patients was 85.425.
Conclusion: Retrograde multilocking nailing is a very good option for distal femoral fractures. It can be used in osteoporotic individuals, involves less blood loss and soft tissue dissection, and helps in quick postoperative recovery and mobilization.
Clinical significance: Compared to other surgical options available for infraisthmal femur fractures, retrograde multilocking nailing is far superior in terms of union rate, postoperative mobilization, blood loss, surgical time, and functional outcomes. |
|---|---|
| ISSN: | 2582-7863 |