Antegrade or retrograde nailing? Difference in the reduction and union with functional range of motion in operated patients for distal femoral fractures - a clinical study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
Aim: Assessment of the outcomes of antegrade nailing and retrograde nailing for distal femur fractures. Materials and methods: 20 men and 10 women aged 20 to 70 [mean, 48] years half of which underwent antegrade and half retrograde interlocking nailing between sept 2014 and sept 2017 for distal femoral fractures were reviewed. Patients were assessed using the modified knee-rating scale of the Hospital for Special Surgery. Results: The mean range of knee flexion was 1050 [range 90-115] in retrograde nailing ( figure 1,2 ) and 106º [range, 90º–120º]for antegrade nailing. The final functional outcome was almost similar in both the methods with a slightly better outcome in retrograde nailing. Conclusion: Antegrade interlocking nailing achieved good-to-excellent outcomes for distal femoral fractures in similar way as retrograde nailing did.
Authors and Affiliations
Dr. Rajesh K Mishra
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