Retrograde interlocking intramedullary nail and plate in the treatment of femoral condyle fracture Analysis.doc

 PAGE \* MERGEFORMAT 4 Retrograde interlocking intramedullary nail and plate in the treatment of femoral condyle fracture Analysis Author: Peng Ai-Ming, Zheng Yong, YE, Fan Rong [Keywords:] retrograde intramedullary nail plate fracture of femoral condyle In recent years we have treated 52 cases of femoral condylar fracture, respectively retrograde intramedullary nail and plate for the treatment, now efficacy are summarized below. 1 Data and methods 1.1 General Information A group (retrograde intramedullary nailing) 24 cases, 17 were males and 7 females; aged 18 to 69 years, an average of 38 years. Traffic injuries in 19 cases, 4 cases of falls and other 1 case. Fractures by Milller Category: A-type 4 cases, B-13 cases, C-type in 7 cases, there are five cases of combined injury. B (anatomic plate and fixed) in 28 cases, 20 males and 8 females; aged 17 to 70 years, an average of 35 years. Traffic injuries in 23 cases, three cases of falls and other injuries in 2 cases. Fractures by Milller Category: A-type in 5 cases, B-16 cases, C-type in 7 cases, 4 patients had combined injuries. 1.2 Treatment Surgery to 2 weeks after injury with an average after injury 8.5d. Use of epidural anesthesia or general anesthesia. Retrograde interlocking intramedullary nailing group were treated with medial knee incision, reset fracture, comminuted fracture can first use of the Kirschner wire fixation, pay attention to not affect the intramedullary nail into the K-wire. Flexion 90 ° , exposed femoral intercondylar fossa. Drilling into the marrow cavity, followed by placing a suitable diameter of the reamed intramedullary nails, pin the end of sinking under the articular surface of 1 ~ 2mm, near and far end of the installation of two locking nail, X-ray observations of a fixed situation, flush articular cavity, joint articular injection of sodium hyaluronate to prevent adhesions. Condylar fractures of blocks, such as instability, can be used cancellous bone pulling nails or bo