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European Journal of Trauma

, Volume 26, Issue 4, pp 155–168 | Cite as

Retrograde Nailing of Distal Femoral Fracture – Clear and Potential Indications

  • Felix Walcher
  • Johannes Frank
  • Ingo Marzi
Original Article

Abstract

Despite the fact that fracture treatment of the supracondylar region of the femur is known to be a therapeutic challenge, a high incidence of complications was reported with extramedullary osteosynthesis. New techniques of biological osteosynthesis and specific implants have been developed to improve treatment of supra- and diacondylar fractures of the femur. In the present series, we report on various clear indications for the use of the distal femur nail (DFN). Moreover, some potential indications for the DFN are presented and their advantages discussed. Clinical evaluation demonstrated that 92% of the fractures treated with the DFN healed without bone grafting, and the clinical results were excellent or satisfactory according to the criteria of Neer et al. Failure of the technique or infection was not observed. Based on our results, we feel that retrograde nailing of the femur, either with percutaneous or open techniques, is a suitable addition to the established techniques of osteosynthesis of the distal femur.

Key Words Retrograde femur nail Transarticular approach Femur fracture Intramedullary nailing 

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Copyright information

© Urban & Vogel München 2000

Authors and Affiliations

  • Felix Walcher
  • Johannes Frank
  • Ingo Marzi
    • 1
  1. 1.Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Chirurgische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar, GermanyDE

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