J Korean Fract Soc.  2004 Apr;17(2):110-116. 10.12671/jkfs.2004.17.2.110.

Treatment of Supracondylar-Intercondylar Femoral Fractures with a Retrograde Intramedullary Nailing

• Chung PH
• Hwang CS
• Kang S
• Kim JP
• Jeon YJ

• KMID: 2184052
• DOI: http://doi.org/10.12671/jkfs.2004.17.2.110

Abstract

PURPOSE: We analyzed the cases of supracondylar-intercondylar femoral fracture treated with retrograde intramedullary nail and report the clinical results and its usefulness.
MATERIALS AND METHODS
We reviewed 17 cases of supracondylar-intercondylar femoral fracture that had been treated with retrograde intramedullary nail and each of patients had been followed up for a minimum one year. Post-operative functional assessment was performed using a scale developed by Sanders et al. The evaluation scale assesses range of motion, pain, walking ability, return to work, and alignment and shortening as measured on radiograph.
RESULTS
According to functional assessment of Sanders et al, there were 6 excellent, 9 good, 1 fair, and 1 poor results, that is, 94% showed above excellent results. Bony union was obtained in average 5 months after operation. The post-operative complications were varus deformity in 1 case, wound infection in 1 case, stiffness of knee joint in 1 case, and metal failure in 1 case.
CONCLUSION
The treatment of supracondylar-intercondylar femoral fracture with retrograde intramedullary nail is one of the good surgical options for clinically preferable results with the advantages in early joint motion and early ambulation.

Keyword

Femur; Supracondylar-Intercondylar fracture; Retrograde intramedullary nailing

MeSH Terms

Congenital Abnormalities
Early Ambulation
Femoral Fractures*
Femur
Fracture Fixation, Intramedullary*
Humans
Joints
Knee Joint
Range of Motion, Articular
Return to Work
Walking
Wound Infection