Orthopedic & Muscular System: Current Research
Open Access

Retrograde femoral nailing: Our experience

4^th International Conference on Orthopedics & Rheumatology

October 26-28, 2015 Baltimore, Maryland, USA

Aser Adel Mansour

Dammam Medical Complex, Saudi Arabia

Posters-Accepted Abstracts: Orthop Muscular Syst

Abstract :

Introduction: Retrograde femoral nail is a technique that has recently been used with increasing frequency for the management of complex femoral shaft fractures. Purpose: The aim of this study was to investigate in a retrospective analysis the results of retrograde nailing in femoral shaft fractures with multiple other injuries. Methodology: Retrograde femoral nailing was used from 2002 until 2012 in Dammam Medical Complex for the treatment of complex femoral shaft fractures in 217 patients. The preferred entry portal, the inter-condylar notch, can be reached quickly and effectively by a variety of methods. The mean age of patients was 43.2 years (range 18:65). Patients were followed up till fracture healing. Result: Bony healing occurred in shaft fractures in 15.5 weeks on an average. Post-operative complications requiring re-intervention were seen in 6/48 (12.5%) fractures. Infection in 1 case (0.015) & anterior knee pain in 2 cases (0.03). Conclusion: Our experience in DMC revealed that retrograde locked intramedullary nailing represents a reliable fixation method for complex femoral shaft fractures. Retrograde inserted nails offer a valuable alternative, especially when the proximal femoral approach is obstructed in poly-trauma patients. Comminuted fracture shaft with big butterfly fragment and metaphysical fractures better to be fixed by plates for more stability.

Biography :

Email: aseradel@yahoo.com