Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate

Krishna, Chaitanya; Shankar, Raja Vinay

doi:10.18203/2349-2902.isj20162710

Cited by 5 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar results were obtained by Krishna et al in their prospective study with 40 patients. 16 Union disturbance i.e., nonunion, delayed union, and malunion rates were found to be higher in the LCP group in the present study. This finding is accordant with that of study by Gao et al, Herrera et al, and Luzan et al whereas studies by Markmiller et al and Gupta et al have stated otherwise.…”

Section: Discussionsupporting

confidence: 43%

Comparison of locking compression plating vs retrograde intramedullary nailing in distal femur extra-articular fractures

et al. 2021

View full text Add to dashboard Cite

Background: The purpose of the study was to compare the outcome of distal femur extra articular fractures treated with locking plate and retrograde intramedullary nail.Methods: 86 patients’ distal femur extra-articular fractures were included in the study. 44 patients were operated with intramedullary nailing; 42 patients were operated with locking plate. Results of the 2 groups were compared with regards to clinical and radiological outcome, intraoperative timing and blood loss. Post-operative status of the patients was evaluated using the visual analogue scale, neer score, knee range of motion and radiological union on plain radiographs. Patients were followed-up at 4 weekly intervals from 8 to 28 weeks and then at 1 year.Results: Mean operative time and blood loss was less in intramedullary nailing group whereas intraoperative blood loss was less in the plating group. 6 patients developed surgical site infection in the plating group. Mean-time till radiological union was significantly better in intramedullary nailing group. 7 patients in plating group had issues with union (5 non-union, 2 delayed union) whereas 1 patient in IMN group had nonunion. 93% of intramedullary nailing cases were able to bear full weight at 12 weeks compared to 66% cases in plate group. Knee pain at 6 months was more in intramedullary nailing group.Conclusions: IMN proved to be a better modality of fixation of distal femur fracture fixation in our study in terms of operative time, union rates, infection rates and overall patient outcome if done with proper principles and techniques of intramedullary fixation.

show abstract

Section: Discussionsupporting

confidence: 43%

Comparison of locking compression plating vs retrograde intramedullary nailing in distal femur extra-articular fractures

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Our results were comparable to the previous some studies. [16][17][18][19][20] The average torsional rigidity in LISS plates was 26 percent higher than in the INL community Wähnert and others. 25 Using the same fracture model and compared the bio-mechanical characteristics of three different intramedullary nails (SCN, DFN, and T2), and of the AxSOS locking platform.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Extra-Articular Fractures of Distal Femur: Less Invasive Stabilization on System (LISS) Plating versus Closed Retrograde Intramedullary Interlocking Nail

Mahar¹,

Aziz²,

Ahmed³

et al. 2021

PJMHS

View full text Add to dashboard Cite

Objective: To evaluate the functional outcome of extra-articular fracture of distal femur, LISS plating versus retrograde intramedullary interlocking nailing. Study Design: Prospective/Randomized control trial Place and Duration of Study: Department of Orthopaedic Surgery, Ghulam Muhammad Mahar Medical College Sukkur from 1st July 2019 to 31st December 2020. Methodology: One hundred patients of both genders with ages 20 to 60 years presented with fractures of distal femur were included in this study. Patients were equally divided into two groups I and II. Group I contained 50 patients and received LISS plating and Group II contained 50 patients and received closed retrograde intramedullary interlocking nail, Pre and post-operative assessment was done. Post-operative complications were noted at 12th day. Functional outcomes were examined after 6 months by the NEERs criteria. Results: Sixty five (65%) patients were males (35 in group I and 30 in group II) and 35 (35%) patients were females (15 in group I and 20 in group II). Road traffic accident was the most common mode of injury in 62 (62%) patients. Most of the fractures were on right side 66 (66%). According to the NEER criteria, 80% patients shows excellent, 20% patients shows satisfactory with no poor results in Group I and in Group II 30% patients shows excellent, 66% patients shows satisfactory results and 4% shows unsatisfactory results. Conclusion: The LISS plating and closed retrograde intramedullary interlocking nail was safe and effective methods for extra-articular fractures of distal femur but there were less complications found in LISS plating. Keywords: Fracture of distal femur, LISS plating, Interlocking nail

show abstract

“…It has the potential to stabilize complex fractures with less soft-tissue dissection; and it can often be inserted quickly in a patient with multiple injuries. Intramedullary nail helps to maintain the anatomical axis and has a distinct advantage in osteoporotic bone [6]. It also has advantages of conventional intramedullary nail such as preservation of hematoma, minimal soft tissue damage, less operative time and less blood loss.…”

Section: Methodsmentioning

confidence: 99%

“…It also helps in postoperative rehabilitation and allows greater range of motion.The inherent rigidity of the locking condylar plates is superior to the retrograde supracondylar nail as proven by previous studies. Krishna C et al compared the outcome of retrograde femoral nail and distal femur locking plate in supracondylar femur fracture in a prospective study of 40 patients[9]. They found no statically significant difference in functional outcome, knee range of motion, extensor lag in both groups while time for fracture union was less in patients treated with nail as compared to locking plate.…”

mentioning

confidence: 99%

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate; Retrospective study

Shinde¹,

Shinde²,

Shinde³

2019

View full text Add to dashboard Cite

Introduction: The overall incidence of distal femur fractures is approximately 37 per 100,000 person-years.1 These fractures are either caused by high energy trauma in younger group or low energy falls in elderly population typically older women. As these fractures can lead to long term disability managing them is challenging task. Operative treatment for fracture fixation is recommended for optimal outcome. Although different modes of fracture fixation has evolved and no single method is uniformly successful. In our study we have compared fixation of distal femur fracture using locking plate and intramedullary nail. Materials and Methods: Retrospectively collected data of operated distal femur fracture of 60 patients was included. Out of these 30 patients were operated with retrograde distal femoral nail and 30 were operated with locking distal femur plate. Patients were assessed with plain radiographs and CT scan was done for complex and intra articular fractures. AO ( Muller) classification was used to classify the fracture type. Postoperative functional results were evaluated using Schatzker and Lambert critera at 1 year follow up. Results: Mean age of the patients in the study was 45 yrs. with 73.33 % male and 26.67 % female patients. There were 41 extra articular fractures (type A) while 19 were intrarticular fractures (type C). 22 type A and 8 type C fractures were treated with retrograde nailing while 19 type A fractures and 11 type C fractures were treated with locking plate. In LCP group 28.57% cases had excellent result while 42.86% cases had good result while in retrograde supracondylar nail 13.33% had excellent result and 23.33 % had good result. There were 2 cases of infection, one in each group and 3 cases of malunion, which were managed with nail. Delayed union was encountered in 3 patients, two of them were managed with LCP. Conclusion: Open reduction and internal fixation of distal femur has achieved excellent to good functional results with locking plate construct in all types of fractures while retrograde supracondylar nail can achieve comparable results when used in simple extraarticular fractures.For other fractures it is difficult to maintain length, alignment and rotation with retrograde nail. Keywords: distal femur fracture, Retrograde intramedullary nail, locking distal femur plate, minimally invasive plating technique, Schatzker and Lambert criteria

show abstract

Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate

Cited by 5 publications

References 10 publications

Comparison of locking compression plating vs retrograde intramedullary nailing in distal femur extra-articular fractures

Comparison of locking compression plating vs retrograde intramedullary nailing in distal femur extra-articular fractures

Outcome of Extra-Articular Fractures of Distal Femur: Less Invasive Stabilization on System (LISS) Plating versus Closed Retrograde Intramedullary Interlocking Nail

Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate; Retrospective study

Contact Info

Product

Resources

About