Retrograde intramedullary nail fixation of distal femoral fractures failed re-fracture.doc

 PAGE \* MERGEFORMAT 8 Retrograde intramedullary nail fixation of distal femoral fractures failed re-fracture [Abstract] Objective To preclude the use of retrograde intramedullary nail fixation of reoperation occurred expired plate fracture of distal femoral fractures in clinical experience. Methods 7 cases have occurred in plate after plate fixation of fractures of distal femur fracture, surgical removal of the plate fracture, the colorful retrograde intramedullary nail fixation with re-surgery, postoperative follow-up treatment. Results of reoperation in 7 cases of distal femoral fractures healed well. Conclusion retrograde intramedullary nail fixation is the treatment of distal femoral fractures after failed internal fixation of fracture of plate fracture and then a good one way. [Keywords:] of distal femoral fractures; intramedullary nail; fracture fixation We have since September 2004 ~ May 2006 use of retrograde intramedullary nailing of distal femoral fractures after failed internal fixation plate fracture re-fracture in 7 cases, to achieve a satisfactory effect, these are as follows. 1 Data and methods 1.1 General Information of this group of 7 patients, 5 males and 2 females; aged 42 to 55 years old, with an average age of 51. Injury Cause: After a fall, after a maximum of 5 months, minimum 2 months, an average of 3.6 months. The left distal femur in 5 cases, the right distal femur in 2 cases. AO fracture classification A1.21 cases, A2.11 cases, A2.33 cases, A3.11 cases, A3.31 cases. Admission time of up to 5 days, the shortest 1 day. 7 cases in this group admitted to hospital within 2 ~ 3 days after surgery. 1.2 surgical continuous epidural anesthesia, supine, posterior lateral incision from the thigh lateral longitudinal line down the remote, remote forward to the femoral condyle cut iliotibial tract, from the biceps femoris and the vastus lateralis separated into space, revealing fracture plate and remove, clean fracture line, will f