Retrograde intramedullary nailing of distal femoral fractures.doc

 PAGE \* MERGEFORMAT 7 Retrograde intramedullary nailing of distal femoral fractures [Abstract] Objective To investigate the treatment of severe comminuted fracture of the distal femur and effective internal fixation method. Methods 21 cases of comminuted distal femur in C positioning-arm X-ray machine with a small incision under the reset, the use of intramedullary nail. Results The average follow-up time of 15 months, 1 case of delayed union, after the proximal nail out, and ultimately healing, and the remaining cases were in the 4 to 8 months of healing, excellent rate of 85.7%. Conclusions The distal femur the treatment of severe comminuted fracture, retrograde intramedullary nail fixation is an ideal surgical method [Keywords:] distal femur fractures, intramedullary nailing January 2003 to October 2007, our hospital with retrograde intramedullary nail 21 cases of comminuted distal femur, the effect is satisfactory, the report is as follows. 1 Clinical data 1.1 The clinical data of the 21 patients, 13 males and 8 females, aged 21 to 53 years. The causes of injury: 17 cases of traffic accident, falls injury in 2 cases, 2 cases of heavy injured. With brain injury 5 cases of chest trauma in 1 case, 5 cases of fracture of other parts of the limbs, according to AO / ASIF classification, A3 in 13 cases, C2-type 5 patients, C3 in 3 cases. 6 cases of open fractures, closed fractures in 15 cases. 1.2 preoperative surgical closed fracture of tibial tubercle traction routine. Epidural anesthesia, supine position, knee flexion 40 or so, according to fracture type determines the operation program. Close fractures of type A3, with the lower edge of patella before incision, longitudinal incision of the patellar ligament, patellar ligament to retain some attention under the fat pad to expose the femoral condyle. in the posterior cruciate ligament at the intercondylar 0.5 cm before, opening with an opening, 8 mm of the canal from the file extension marrow