Experience of the T2 supracondylar nail in distal femoral fractures

Abstract

Supracondylar and intercondylar fractures of the distal femur occur either as insufficiency fractures in the elderly or following high-energy trauma in younger patients. These fractures comprise 4—7% of all femoral fractures and have always represented challenging fractures to treat. Many methods of fixation have been used with reportedly good results. Schatzker and Lambert concluded that the elderly patient with an osteoporotic comminuted fracture presents a significant surgical challenge which may be difficult to overcome and in some cases be beyond the surgeon’s capability. We report our experience with the T2 retrograde supracondylar nail (T2SCN Stryker, UK) which has the new feature of four distal locking screws in three different planes.