Abstract
Retrograde nailing has several technical advantages, such as avoiding use of a fracture table, easy patient positioning, and relatively short operating time. Accessing the entry portal is easy because of less soft tissue dissection, especially in obese patients. Compared with the entry at the hip for the antegrade nailing, there is no muscle dissection and less exposure to radiation. Bilateral femoral shaft fractures can be simultaneously fixed with the same positioning. Retrograde nailing may be preferred in the presence of a concomitant proximal femoral fracture. It can also be used when proximal access is difficult due to reasons such as a previously placed implant for internal fixation of a proximal femoral fracture.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kim JW, Oh CW, Oh JK, Park KH, Kim HJ, Kim TS, Seo I, Park EK. Treatment of infra-isthmal femoral fracture with an intramedullary nail: is retrograde nailing a better option than antegrade nailing? Arch Orthop Trauma Surg. 2018;138(9):1241–7.
Oh CW, Oh JK, Park BC, Jeon IH, Kyung HS, Kim SY, Park IH, Sohn OJ, Min WK. Retrograde nailing with subsequent screw fixation for ipsilateral femoral shaft and neck fractures. Arch Orthop Trauma Surg. 2006;126(7):448–53.
Oh CW, Oh JK, Min WK, Jeon IH, Kyung HS, Ahn HS, Park BC, Kim PT. Management of ipsilateral femoral and tibial fractures. Int Orthop. 2005;29(4):245–50.
Sanders R, Koval KJ, DiPasquale T, Helfe DL, Frankle M. Retrograde reamed femoral nailing. J Orthop Trauma. 2014;28(Suppl 8):S15–24.
Ostrum RF, Tornetta P 3rd, Watson JT, Christiano A, Vafek E. Ipsilateral proximal femur and shaft fractures treated with hip screws and a reamed retrograde intramedullary nail. Clin Orthop Relat Res. 2014;472(9):2751–8.
Yoon BH, Park IK, Kim Y, Oh HK, Choo SK, Sung YB. Incidence of nonunion after surgery of distal femoral fractures using contemporary fixation device: a meta-analysis. Arch Orthop Trauma Surg. 2021;141(2):225–33.
Ricci WM, Bellabarba C, Evanoff B, Herscovici D, DiPasquale T, Sanders R. Retrograde versus antegrade nailing of femoral shaft fractures. J Orthop Trauma. 2001;15(3):161–9.
Schumaier AP, Southam BR, Avilucea FR, Finnan RP, Wyrick JD, Archdeacon MT, Le TT. Factors predictive of blocking screw placement in retrograde nailing of distal femur fractures. J Orthop Trauma. 2019;33(6):e229–e33.
Van Dyke B, Colley R, Ottomeyer C, Palmer R, Pugh K. Effect of blocking screws on union of infraisthmal femur fractures stabilized with a retrograde intramedullary nail. J Orthop Trauma. 2018;32(5):251–5.
Park YC, Song HK, Yang KH. Prevention of unplanned surgery due to delayed diagnosis of occult ipsilateral femoral neck fractures associated with femoral shaft fractures: a study of the ct capsular sign with lipohemarthrosis. J Bone Joint Surg Am. 2021;103(15):1431–7.
Bedi A, Karunakar MA, Caron T, Sanders RW, Haidukewych GJ. Accuracy of reduction of ipsilateral femoral neck and shaft fractures--an analysis of various internal fixation strategies. J Orthop Trauma. 2009;23(4):249–53.
Park YC, Um KS, Hong SP, Oh CW, Kim S, Yang KH. Preoperative "computed tomography capsular sign" for the detection of occult ipsilateral femoral neck fractures associated with femoral shaft fractures. Injury. 2020;51(4):1051–6.
Park KH, Oh CW, Park KC, Kim JW, Oh JK, Kyung HS, Kim HJ, Yoon YC. Excellent outcomes after double-locked plating in very low periprosthetic distal femoral fractures. Arch Orthop Trauma Surg. 2021;141(2):207–14.
Bong MR, Egol KA, Koval KJ, Kummer FJ, Su ET, Iesaka K, Bayer J, Di Cesare PE. Comparison of the LISS and a retrograde-inserted supracondylar intramedullary nail for fixation of a periprosthetic distal femur fracture proximal to a total knee arthroplasty. J Arthroplast. 2002;17(7):876–81.
Lee SS, Lim SJ, Moon YW, Seo JG. Outcomes of long retrograde intramedullary nailing for periprosthetic supracondylar femoral fractures following total knee arthroplasty. Arch Orthop Trauma Surg. 2014;134(1):47–52.
Ostrum RF, Agarwal A, Lakatos R, Poka A. Prospective comparison of retrograde and antegrade femoral intramedullary nailing. J Orthop Trauma. 2000;14(7):496–501.
Park J, Lee JH. Comparison of retrograde nailing and minimally invasive plating for treatment of periprosthetic supracondylar femur fractures (OTA 33-a) above total knee arthroplasty. Arch Orthop Trauma Surg. 2016;136(3):331–8.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Oh, CU. (2022). Retrograde Nailing. In: The Art of Intramedullary Nailing for Femoral Fracture. Springer, Singapore. https://doi.org/10.1007/978-981-19-3730-9_5
Download citation
DOI: https://doi.org/10.1007/978-981-19-3730-9_5
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-3729-3
Online ISBN: 978-981-19-3730-9
eBook Packages: MedicineMedicine (R0)