Treatment of distal femur fractures with retrograde intramedullary nailing utilizing a tibial nail

Yılmaz Ergişi; Mesut Tıkman; Selçuk Korkmazer; Ozan Altun; Halil Kekeç; Erdi Özdemir; Uygar Daşar

Makale detayları

Treatment of distal femur fractures with retrograde intramedullary nailing utilizing a tibial nail

Yazarlar:

Yılmaz Ergişi | Mesut Tıkman | Selçuk Korkmazer | Ozan Altun | Halil Kekeç | Erdi Özdemir | Uygar Daşar

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 1, pp.73-76

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282286

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aim: Retrograde intramedullary nailing for the treatment of femur fractures is a sound option due to its advantages including ease of implant placement and better control of the distal segment, especially in distal femur fractures. Unfortunately, retrograde femoral nails are not available in most developing countries or rural areas. The primary aim of the study is to investigate the outcomes of an alternative treatment of distal femur fracture with retrograde intramedullary nailing using a tibial nail. Material and Method: Patients who had distal femur fractures and underwent retrograde intramedullary nailing with a tibial nail between January 2020March 2022 are retrospectively evaluated. Patients who were treated other than a tibial nail, aged below 18, had follow-up less than 6 months, multiple fractures, and open fractures were excluded. Patients demographics, time to union, and complications were recorded. Functional outcomes included visual analogue pain score VAS, Lysholm score, Tegner activity scale, Knee Society Score KSS, and Short Form-36 SF36 on the latest follow-up. Results: A total of 15 patients 11 male, 4 female met the inclusion criteria and included in the study. The mean age of the patients was 42.917.3 range, 18 to 72 months. The mean follow-up period was 10.15.2 months range, 6 to 18. There was no reduction loss and implant failure during follow-ups. One patient had nonunion. No intraoperative fracture occurred. Persistent knee pain was seen in a patient due to an intraarticular screw and removed arthroscopically. In the latest follow-up, the mean VAS was 0.730.70 range, 0 to2, the mean Tegner score was 5.01.5 range, 3 to 7, the mean Lysholm score was 90.99.9range, 64 to 100, the mean KSS was 86.68.6 range, 70 to 97, and the mean SF-36 score was 96.54.7 range, 87 to 100. Conclusion: The results of this study suggest that a tibial nail with retrograde intramedullary nailing has good functional outcomes in the treatment of distal femur fractures. The tibial nail should be considered as an alternative treatment option where retrograde femoral nails are not available.

 Aim: Retrograde intramedullary nailing for the treatment of femur fractures is a sound option due to its advantages including ease of implant placement and better control of the distal segment, especially in distal femur fractures. Unfortunately, retrograde femoral nails are not available in most developing countries or rural areas. The primary aim of the study is to investigate the outcomes of an alternative treatment of distal femur fracture with retrograde intramedullary nailing using a tibial nail. Material and Method: Patients who had distal femur fractures and underwent retrograde intramedullary nailing with a tibial nail between January 2020March 2022 are retrospectively evaluated. Patients who were treated other than a tibial nail, aged below 18, had follow-up less than 6 months, multiple fractures, and open fractures were excluded. Patients demographics, time to union, and complications were recorded. Functional outcomes included visual analogue pain score VAS, Lysholm score, Tegner activity scale, Knee Society Score KSS, and Short Form-36 SF36 on the latest follow-up. Results: A total of 15 patients 11 male, 4 female met the inclusion criteria and included in the study. The mean age of the patients was 42.917.3 range, 18 to 72 months. The mean follow-up period was 10.15.2 months range, 6 to 18. There was no reduction loss and implant failure during follow-ups. One patient had nonunion. No intraoperative fracture occurred. Persistent knee pain was seen in a patient due to an intraarticular screw and removed arthroscopically. In the latest follow-up, the mean VAS was 0.730.70 range, 0 to2, the mean Tegner score was 5.01.5 range, 3 to 7, the mean Lysholm score was 90.99.9range, 64 to 100, the mean KSS was 86.68.6 range, 70 to 97, and the mean SF-36 score was 96.54.7 range, 87 to 100. Conclusion: The results of this study suggest that a tibial nail with retrograde intramedullary nailing has good functional outcomes in the treatment of distal femur fractures. The tibial nail should be considered as an alternative treatment option where retrograde femoral nails are not available.

 Aim: Retrograde intramedullary nailing for the treatment of femur fractures is a sound option due to its advantages including ease of implant placement and better control of the distal segment, especially in distal femur fractures. Unfortunately, retrograde femoral nails are not available in most developing countries or rural areas. The primary aim of the study is to investigate the outcomes of an alternative treatment of distal femur fracture with retrograde intramedullary nailing using a tibial nail. Material and Method: Patients who had distal femur fractures and underwent retrograde intramedullary nailing with a tibial nail between January 2020March 2022 are retrospectively evaluated. Patients who were treated other than a tibial nail, aged below 18, had follow-up less than 6 months, multiple fractures, and open fractures were excluded. Patients demographics, time to union, and complications were recorded. Functional outcomes included visual analogue pain score VAS, Lysholm score, Tegner activity scale, Knee Society Score KSS, and Short Form-36 SF36 on the latest follow-up. Results: A total of 15 patients 11 male, 4 female met the inclusion criteria and included in the study. The mean age of the patients was 42.917.3 range, 18 to 72 months. The mean follow-up period was 10.15.2 months range, 6 to 18. There was no reduction loss and implant failure during follow-ups. One patient had nonunion. No intraoperative fracture occurred. Persistent knee pain was seen in a patient due to an intraarticular screw and removed arthroscopically. In the latest follow-up, the mean VAS was 0.730.70 range, 0 to2, the mean Tegner score was 5.01.5 range, 3 to 7, the mean Lysholm score was 90.99.9range, 64 to 100, the mean KSS was 86.68.6 range, 70 to 97, and the mean SF-36 score was 96.54.7 range, 87 to 100. Conclusion: The results of this study suggest that a tibial nail with retrograde intramedullary nailing has good functional outcomes in the treatment of distal femur fractures. The tibial nail should be considered as an alternative treatment option where retrograde femoral nails are not available.

 Aim: Retrograde intramedullary nailing for the treatment of femur fractures is a sound option due to its advantages including ease of implant placement and better control of the distal segment, especially in distal femur fractures. Unfortunately, retrograde femoral nails are not available in most developing countries or rural areas. The primary aim of the study is to investigate the outcomes of an alternative treatment of distal femur fracture with retrograde intramedullary nailing using a tibial nail. Material and Method: Patients who had distal femur fractures and underwent retrograde intramedullary nailing with a tibial nail between January 2020March 2022 are retrospectively evaluated. Patients who were treated other than a tibial nail, aged below 18, had follow-up less than 6 months, multiple fractures, and open fractures were excluded. Patients demographics, time to union, and complications were recorded. Functional outcomes included visual analogue pain score VAS, Lysholm score, Tegner activity scale, Knee Society Score KSS, and Short Form-36 SF36 on the latest follow-up. Results: A total of 15 patients 11 male, 4 female met the inclusion criteria and included in the study. The mean age of the patients was 42.917.3 range, 18 to 72 months. The mean follow-up period was 10.15.2 months range, 6 to 18. There was no reduction loss and implant failure during follow-ups. One patient had nonunion. No intraoperative fracture occurred. Persistent knee pain was seen in a patient due to an intraarticular screw and removed arthroscopically. In the latest follow-up, the mean VAS was 0.730.70 range, 0 to2, the mean Tegner score was 5.01.5 range, 3 to 7, the mean Lysholm score was 90.99.9range, 64 to 100, the mean KSS was 86.68.6 range, 70 to 97, and the mean SF-36 score was 96.54.7 range, 87 to 100. Conclusion: The results of this study suggest that a tibial nail with retrograde intramedullary nailing has good functional outcomes in the treatment of distal femur fractures. The tibial nail should be considered as an alternative treatment option where retrograde femoral nails are not available.

Makale detayları

Treatment of distal femur fractures with retrograde intramedullary nailing utilizing a tibial nail

Yazarlar:

Yılmaz Ergişi | Mesut Tıkman | Selçuk Korkmazer | Ozan Altun | Halil Kekeç | Erdi Özdemir | Uygar Daşar

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 1, pp.73-76

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282286

pISSN:

2636-8579

Femur

tibia

nail

plate

fixation

retrograde nail

Femur

tibia

nail

plate

fixation

retrograde nail

Sayı

Makale detayları

Yazarlar: Yılmaz Ergişi | Mesut Tıkman | Selçuk Korkmazer | Ozan Altun | Halil Kekeç | Erdi Özdemir | Uygar Daşar

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Journal of Health Sciences and Medicine Vol.6 Issue 1, pp.73-76

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001282286

pISSN: 2636-8579

Sayı

Yazarlar:

Yılmaz Ergişi | Mesut Tıkman | Selçuk Korkmazer | Ozan Altun | Halil Kekeç | Erdi Özdemir | Uygar Daşar

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 1, pp.73-76

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282286

pISSN:

2636-8579