Abstract
A distal femoral fracture is one of the challenging injuries to orthopaedic surgeons. Operative treatment has been the mainstay to obtain early mobilization of patients. Traditionally, stabilization has been achieved with open reduction using several kinds of plates. However, this conventional technique is not a biologic method; it requires large exposure, with its related risk of soft tissue damage, promoting devascularization of bone fragments and compromising fracture healing. [15] Based on above findings the present study was planned to study patient with distal femur fracture including both supracondylar fracture operated with retrograde femoral nail to evaluate the pre and post-surgical outcomes.
 The present study was planned in Department of Orthopaedic, Sri Krishna Medical College and Hospital (SKMCH), Muzaffarpur, Bihar, from jan 2018 to December 2018. Total 650 bone injuries were reported in the hospital. From that 15 cases of the supracondylar Fracture Femur were evaluated in the present study.
 The data generated from the present study concludes that retrograde intramedullary supracondylar nail is a good fixation system for the distal third femoral fractures, particularly the extra-articular type. The operative time is lessened with decrease in blood loss. Distal screw related local symptoms is a common problem, and is related to the implant and technique. Early surgery, closed reduction, at least two screws in each fragment, and early post-operative knee mobilisation are essential for good union, and good knee range of motion.
 Keywords: supracondylar, distal femur, retrograde nailing, biological fixation, femur fracture, etc.
Highlights
[15] Based on above findings the present study was planned to study patient with distal femur fracture including both supracondylar fracture operated with retrograde femoral nail to evaluate the pre and post-surgical outcomes
From that 15 cases of the supracondylar Fracture Femur were evaluated in the present study
The data generated from the present study concludes that retrograde intramedullary supracondylar nail is a good fixation system for the distal third femoral fractures, the extra-articular type
Summary
Supracondylar femur fractures are becoming more common as the population ages. These fractures usually occur in elderly patients with multiple comorbidities and osteoporotic bone; a high rate of complications exists. The goal in treating supracondylar femur fractures, as in treating any periarticular fracture in a weightbearing bone, is restoration of a stable limb for functional, pain-free ambulation. Maintaining anatomic alignment and length and preventing stiffness restore function. Avoiding arthritis, which requires restoration of anatomic congruent joint surfaces and maintaining the normal mechanical axis of the limb, prevents pain. Supracondylar femur fractures require anatomically stable internal fixation for best results. Maintaining leg length and preventing varus malalignment is difficult with traction. Surgical risks were avoided, the patient was exposed to the risks of prolonged bedrest, including pulmonary complications, deep venous thrombosis, pressure injuries, disuse osteoporosis, and generalized muscle atrophy and deconditioning. [1]
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