Abstract

Abstract Introduction In recent years, the treatment of distal femoral fractures has evolved although these fractures remain complex to treat and carry an inconsistent prognosis. Debate continues around choice of implant for fixation of metaphyseal–diaphyseal fractures. In this retrospective study, we evaluated and compared clinical and radiological outcomes of distal femur fracture stabilisation using retrograde nailing and locking compression plate constructs. Materials and Methods Between 2008 and 2013, 103 patients with distal femoral fracture who had been treated by retrograde intramedullary interlocking (IMIL) nailing (n = 57) and locking compression plating (LCP) (n = 46) were evaluated in this study at our centre. Results Clinical and radiographic evaluation demonstrated osseous healing within 6 months following retrograde nail and LCP plating in over 75% of patients. Average time of union in LCP group was 6.8 months and in retrograde nailing group was about 7.4 months. In the retrograde nail group, 5 out of 57 patients (9%) developed nonunion as no bony consolidation of the femoral fracture was observed 9 months after fixation. In the LCP group, nonunion was observed in 2 out of 46 patients (4%). Conclusion Outcome of retrograde intramedullary nailing and locking compression plating of distal femoral fractures in adults

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