PROSPECTIVE ANALYSIS OF RETROGRADE SUPRACONDYLAR NAILING IN THE MANAGEMENT OF SUPRACONDYLAR AND DISTAL FEMORAL FRACTURES

Dr. Upendram Vamsi Krishna, Dr. Dinesh Kumar G, Dr. C. Maruthi Prasad

Abstract


Aim: The aim of the study is to analyse prospectively the results of Retrograde Supracondylar Intramedullary Nail in the management of Distal femoral & Supracondylar Fractures.

Materials and methods: This is a prospective study of 40 patients with supracondylar and distal femoral fractures treated with Retrograde Supracondylar nail at Government General Hospital, Kurnool from June 2017 to December 2019. Of the 40 patients, 22 cases were supracondylar fractures and 18 cases were distal femoral fractures

Results: In our study, 40 cases were treated by retrograde intramedullary supracondylar nail. Patients were followed up every 3 weeks till thereafter at 3 months, 5 months and 1 year. The functional outcomes were analyzed using KNEE RATING SYSTEM BY THE HOSPITAL FOR SPECIAL SURGERY. Of the forty cases, thirty eight were available for follow up. The functional outcome was good to excellent in twenty four patients (63%), fair in eight (21.0%) and poor in six patients (17.6%).

Conclusion: Based on our study, we conclude that early surgical intervention and mobilization of patients will give better results. The retrograde intramedullary locked nail offers a practical advantages of simple and efficient technique for patients with polytrauma, floating knee injuries and in elderly.


Keywords


Retrograde Supracondylar Intramedullary Nail, Fractures, SURGERY

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References


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