Surgical management of supracondylar fracture femur by retrograde intramedullary Green Seligson Henry nail: a clinical study

Abstract

Background: Femoral shaft fractures in young people are frequently due to some type of high-energy collision. The most common cause of femoral fracture is a motor vehicle crash. Treatment for the femoral shaft is at most priority. Hence, the study is aimed to evaluate the results of the retrograde femoral nailing in supracondylar femoral fractures concerning knee flexion, mobilization of patients, and early weight-bearing. Methods: The study is conducted from October 2019 to October 2021 with 25 patients having supracondylar fractures of the femur. The age group of patients was 15-70 years. Patients with midshaft femur fractures, nonunion, malunion, and pathological fractures were excluded. Chest X-ray post anterior view electrocardiography was performed in patients. Operative procedure was followed and postoperative management was done for all the patients. Radiological evidence of callus and consolidation was analyzed. Neer’s rating system and Sander’s functional evaluation scale were used to find the points for pain, working and walking capacity, range of motion and radiological appearance, etc. Results: In the study, 25 patients are admitted with supracondylar fractures of the femur. The closed or open reduction method and the retrograde intramedullary supracondylar Green Seligson Henry (GSH) nail were used for internal fixation. The patients were followed for a period of 3 to 24 months. The results of Neers and Sander’s evaluation scoring system determined good to excellent results in 65% of cases. Conclusion: To conclude from the study results, it was noted that retrograde intramedullary supracondylar nail is an ideal fixation system for distal third femoral fractures, especially the extraarticular type.