Abstract
We evaluated the functional outcome of 12 femoral fractures treated using retrograde intramedullary nailing via an intercondylar approach. Patients were 9 men and 3 women with an average age of 39.4 years (range, 16–69 years). The follow-up period was 13–185 months, with an average follow-up of 95 months. Functional outcome was assessed by the knee-rating system of the Hospital for Special Surgery (HSS) and Neer's criteria. The average score was 76 points (44 –100 points) by HSS, and 77 points (36–100 points) by Neer's criteria. The outcomes over good results were seen in 67% (8/12) and 58% (7/12), according to respective rating system. Although retrograde nailing for the femoral fractures is useful method, it is still problematic about its efficacy on the basis of our acceptable rate.
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Bhandari M, Guyatt GH, Tong D, Adili A, Shaughnessy SG (2000) Reamed versus nonreamed intramedullary nailing of lower extremity long bone fractures: a systemic overview and meta-analysis. J Orthop Trauma 14: 2–9
Clayworthy, Clark DI, Gray DH, Hardy AE (1998) Reamed versus unreamed femoral nails. J Bone Joint Surg (Br) 80: 485–489
Court-Brown CM, Will E, Christie J, McQueen MM (1996) Reamed or unreamed nailing for closed tibial fractures. Prospective study in Tschene C1 fractures. J Bone Joint Surg (Br) 78: 580–583
Gustilo RB, Mendoza RM, Williams DN (1984) Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 24: 742–746
Harris LJ (1980) Closed retrograde intramedullary nailing of peritrochanteric fractures of the femur with a new nail. J Bone Joint Surg (Am) 62: 1185–1193
Herscovici D Jr., Whiteman KW (1996) Retrograde nailing of the femur using an intercondylar approach. Clin Orthop 332: 98–104
Iannacone WM, Bennett FS, DeLong WG Jr, Bone CT, Dlsey RM (1994) Initial experience with the treatment of supracondylar femoral fractures using the supracondylar intramedullary nail: A preliminary report. J Orthop Trauma 8 (4): 322–327
Itoman M, Sasamoto N, Yamamoto M (1988) Stable osteosynthesis by interlocking cylinder nail for fractures of the femur and tibia. J. Jpn Orthop Assoc 62: 601–608
Janzing HMJ, Stockman B, Van Damme G, Rommens P, Broos PLO (1998) The retro-grade intramedullary nail: Prospective experience in patients older than sixty-five years. J Orthop Trauma 12(5): 330–333
Klein MPM, Rahn BA, Frigg R, Kessler SK, Perren SM (1990) Reaming versus non-reaming in medullary nailing: Interference with cortical circulation of the canine tibia. Arch Orthop Trauma Surg 109: 314–316
Küntscher G (1940) Die Marknagelung von Knochenbrüchen. Arch Chir 200: 243
Küntscher G (1940) Die Technik der Marknagelung des Oberschenkels. Zentralb Chir 25: 443
Lucus SE, Seligson D, Henry SL (1993) Intramedullary supracondylar nailing of femoral fractures. Clin Orthop 296: 200–206
Melcher GA, Metzdorf A, Schlegel U, Ziegler WJ, Perren SM, Printzen G (1995) Influence of reaming versus nonreaming in intramedullary nailing on local infection rate: Experimental investigation in rabbits. J Trauma 39: 1123–1128
Moed BR, Watson JT (1995) Retrograde intramedullary nailing, without reaming, of fractures of the femoral shaft in multiply injured patients. J Bone Joint Surg (Am) 77: 1520–1527
Moed BR, Watson JT, Cramer KE, Karges DE, Teefey JS (1998) Unreamed retrograde intramedullary nailing of fractures of the femoral shaft. J Orthop Trauma 12(5): 334–342
Müller ME (1991) The comprehensive classification of fractures of long bones. In: Müller ME, Allgöwer M, Schneider R, Willeneger H (eds) Manual of Internal Fixation, 3rd ed, Berlin: Springer-Verlag, pp 118–150
Nakamura T, Itoman M, Yokoyama K (1999) Cortical revascularization after reamed and unreamed intramedullary nailing in the rabbit femur: a microangiographic histometric analysis. J Trauma 47: 744–751
Neer CS II, Grantham SA, Shelton ML (1967) Supracondylar fracture of the adult femur: A study of one hundred and ten cases. J Bone Joint Surg (Am) 49: 591–613
Ostrum RF, Agarwal A, Lakatos R, Poka A (1998) A prospective comparison of antegrade and retrograde femoral intramedullary nailing. Abstracts, pp124–126, presented at the 14th Annual Meeting of the Orthopaedic Trauma Association (OTA)
Pape H-C, Dwenger A, Regel G, Schweizer G, Jonas M, Remmers D, Krum K, Neumann C, Strum JA, Tscherne H (1992) Pulmonary damage after intramedullary femoral nailing in traumatized sheep -Is there an effect from different nailing methods? J Trauma 33: 574–581
Patterson BM, Chip Routt ML Jr., Benirschke SK, Hansen ST Jr (1995) Retrograde nailing of femoral shaft fractures. J Trauma 38: 38–43
Ranawat CS, Shine JJ (1973) Duo-Condylar total knee arthroplasty. Clin Orthop 94: 185–195
Sanders R, Koval KJ, DiPasquale T, Helfet DL, Frankle M (1993) Retrograde reamed femoral nailing. J Orthop Trauma 7 (4): 293–302
Whittle AP, Wester W, Russel TA (1995) Fatigue failure in small diameter tibial nails. Clin Orthop 315: 119–128
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Nakamura, T., Yokoyama, K., Saita, Y. et al. Functional outcome of retrograde intramedullary nailing for femoral fractures. Eur J Orthop Surg Traumatol 11, 29–33 (2001). https://doi.org/10.1007/BF01706659
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DOI: https://doi.org/10.1007/BF01706659