Abstract
Objectives: The objective of the study is to assess the efficacy of retrograde intramedullary interlocking supracondylar nailing and distal femoral locking compression plate in the management of distal femur fractures. Methods: The present prospective study consists of a total of 36 cases with extra-articular supracondylar fractures of the femur between the age group of 21–70 years. Participants were randomly allocated to group 1 treated with distal femoral locking compression plate fixation and group 2 treated with retrograde intramedullary interlocking supracondylar nailing technique. Post-operatively, all the cases were followed up in regular intervals to assess the functional outcome using the American Knee Society score. Results: Road traffic accidents (80.56%) were the most common cause of injury. The average surgical duration (108 min and 90.14 min), duration of fracture union (12.48 weeks and 11.08 weeks), and blood loss (339.8 ml and 236.6 ml) was better in the nailing group than the plating group, respectively. The overall outcome was comparable between the two study groups. Conclusion: The supracondylar nailing technique has better functional outcomes in terms of less fracture union time, less operative duration, and minimal operative blood loss. Supracondylar nailing technique was effective and better in soft tissue damage control.
Highlights
Distal femur fractures are complex injuries accounts of 6–7% of all femoral fractures and are more common in elderly people due to osteoporosis and less in the younger age group, which occurs usually due to high energy trauma [1,2,3]
The present study was designed to assess the efficacy of retrograde intramedullary interlocking supracondylar nailing and distal femoral locking compression plate in the management of distal femur fractures
Group 1 subjects were treated with distal femoral locking compression plate fixation and group 2 were subjects treated with retrograde intramedullary interlocking supracondylar nailing technique
Summary
Distal femur fractures are complex injuries accounts of 6–7% of all femoral fractures and are more common in elderly people due to osteoporosis and less in the younger age group, which occurs usually due to high energy trauma [1,2,3]. The management of distal femur fractures is difficult due to the involvement of neurovascular structure, extensive soft tissue injury, and fracture extension into the nearby joints [4]. The biological approach like retrograde intramedullary interlocking supracondylar nailing technique has good control of the distal fragment. The distal femoral locking compression plate is an alternate method that has the advantage of soft tissue protection using a restricted approach [6]. Several studies reported that internal fixation devices provide better stability, early mobilization, less surgical duration, and minimal operative blood loss. In this regard, the present study was designed to assess the efficacy of retrograde intramedullary interlocking supracondylar nailing and distal femoral locking compression plate in the management of distal femur fractures
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