Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Femur
Abstract number: 25632
RETROGRADE INTRAMEDULLARY NAILING FOR SUPRACONDYLAR AND
INTERCONDYLAR FRACTURES OF THE DISTAL PART OF THE FEMUR
Luis LOPEZ-DURAN STERN 1 , Javier GARCIA COIRADAS 2 , Irene PANEQUE 2 ,
Alvaro COLINO 2 , Yaiza LóPIZ 2
1 Hospital Clinico de San Carlos, Madrid (SPAIN), 2 Clinico San Carlos Hospital,
Madrid (SPAIN)
INTRODUCTION: Retrograde intramedullary nailing represents an established
fixation method for fractures of the distal femur, offering an adequate alternative to
other techniques due to soft tissue dissection is minimized. The purpose was to
investigate in a retrospective analysis the results of retrograde nailing in distal
femoral fractures. MATERIAL and METHOD: From January 2005 to December 2008,
36 fractures of the distal femur were treated by retrograde femoral nailing. The mean
age was 67,7 years (17-94) and 20% presented associated fractures. Follow up
ranged between 14 and 25 weeks (19). Fractures were classified according to the
AO/ASIFF classification. For fracture fixation the Distal Femoral Nail SCN (Stryker®)
was used. All patients were assessed with regard to operative time, blood trasfusion,
hospital stay, and postoperative complications. All patients underwent a clinical and
radiological evaluation. RESULTS: Average time to surgery was 6 days (0-20). 51%
cases were 33-A1 fracture type. The average operative time was 66 minutes. Mean
hospital stay 19,96 days (3-80). 13 patients required blood transfusion during hospital
stay. 32 fractures (88%) healed in an average of 3.9 months. There were no cases of
angular malalignment, nail failure or knee sepsis. Four non-union, two cases of knee
stiffness and an intraoperative fracture of the femur above the nail were the main
complications in this serie. DISCUSSION: Retrograde nailing represents a reliable
fixation method for extra-articular (33 - A1-3) and simple intra-articular (33 - C1-2)
fractures of the supracondylar area, offering a valuable alternative with few
complications.
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