Jong-Ho Yoon; Byung-Woo Ahn; Chong-Kwan Kim; Jin-Woo Jin; Ji-Hoon Lee; Hyun-Ku Cho; Joo-Hyun Lee

doi:10.12671/jkfs.2009.22.3.145

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Original Article
Retrograde Intramedullary Nailing or the Treatment of Segmental Femoral Shaft Fracture Including Distal Part: Jong-Ho Yoon, M.D., Byung-Woo Ahn, M.D., Chong-Kwan Kim, M.D., Jin-Woo Jin, M.D., Ji-Hoon Lee, M.D., Hyun-Ku Cho, M.D., Joo-Hyun Lee, M.D.; Journal of the Korean Fracture Society 2009;22(3):145-151.
DOI: https://doi.org/10.12671/jkfs.2009.22.3.145
Published online: July 31, 2009

Department of Orthopedic Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, Masan, Korea.

Address reprint requests to: Jin-Woo Jin, M.D. Department of Orthopedic Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine, 50, Hapsung 2-dong, Hoewon-gu, Masan 630-520, Korea. Tel: 82-55-290-6030, Fax: 82-55-290-6888, ortho_ss@yahoo.co.kr

• Received: November 7, 2008 • Revised: January 1, 2009 • Accepted: April 22, 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the usefulness of the retrograde intramedullary nailing for the treatment of segmental femoral shaft fracture including distal part.
Materials and Methods
We reviewed 15 patients of segmental femoral fracture, who had treated with retrograde intramedullary nailing and followed-up more than 1 year from January 2003 to October 2007. There were 10 men, 5 women, and the mean age was 45 years old. There were associated fracture in 10 cases. We evaluate the time for union, non-union and malunion by radiologic finding and functional assessment by Sanders' criteria.
Results
The mean time of union was 21 weeks. There was one delayed union in proximal fracture site. There was no shortening more than 1.5 cm, no angular deformity more than 10 degrees, no postoperative infection or instability. According to Sanders' criteria, there were excellent clinical results in 9 cases, good results in 5 cases and fair result in 1 case.
Conclusion
The retrograde intramedullary nailing can be a useful method for treatment of segmental femoral shaft fracture including distal part.
Key words: Femur, Segmental fracture, Retrograde intramedullary nail

REFERENCES

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Fig. 1

(A) Initial anteroposterior and lateral radiographs of a 59-year-old female with segmented femoral shaft fracture and ipsilateral patellar fracture.

(B) Femoral shaft was fixed with retrograde intramedullary nailing and patellar fracture was fixed with Tension Bend Wiring.

(C) Follow-up radiographs, made at 17-month after operation, showed that well united femoral shaft fracture and patellar fracture.

Fig. 2

(A) Initial anteroposterior and lateral radiographs of a 62-year-old male with segmented femoral shaft fracture, ipsilateral femoral neck fracture and ipsilateral patellar fracture.

(B) Femoral shaft was fixed with retrograde intramedullary nailing, neck was fixed with 3 cannulated cancellous screws and the patella was fixed with tension bend wirings.

(C) Follow-up radiographs, made at 16-month after operation, showed that well united femoral shaft, neck & patellar fracture and removed hardwares.

Table 1

Summary of patient data

Table 2

Functional evaluation scale (by Sanders et al, 1991)

^*Excellent=36~40 pts, Good=26~35 pts, Fair=16~25 pts, Poor=0~15 pts.

Figure & Data

REFERENCES

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Analysis of Risk Factors for Nonunion after Intramedullary Nailing of Femoral Shaft Fracture in Adult
Yong-Woon Shin, Yerl-Bo Sung, Jeong Yoon Choi, Minkyu Kim
Journal of the Korean Fracture Society.2011; 24(4): 313. CrossRef

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Retrograde Intramedullary Nailing or the Treatment of Segmental Femoral Shaft Fracture Including Distal Part

J Korean Fract Soc. 2009;22(3):145-151. Published online July 31, 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.3.145

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Retrograde Intramedullary Nailing or the Treatment of Segmental Femoral Shaft Fracture Including Distal Part

Fig. 1 (A) Initial anteroposterior and lateral radiographs of a 59-year-old female with segmented femoral shaft fracture and ipsilateral patellar fracture. (B) Femoral shaft was fixed with retrograde intramedullary nailing and patellar fracture was fixed with Tension Bend Wiring. (C) Follow-up radiographs, made at 17-month after operation, showed that well united femoral shaft fracture and patellar fracture.

Fig. 2 (A) Initial anteroposterior and lateral radiographs of a 62-year-old male with segmented femoral shaft fracture, ipsilateral femoral neck fracture and ipsilateral patellar fracture. (B) Femoral shaft was fixed with retrograde intramedullary nailing, neck was fixed with 3 cannulated cancellous screws and the patella was fixed with tension bend wirings. (C) Follow-up radiographs, made at 16-month after operation, showed that well united femoral shaft, neck & patellar fracture and removed hardwares.

Fig. 1

Fig. 2

Retrograde Intramedullary Nailing or the Treatment of Segmental Femoral Shaft Fracture Including Distal Part

Table 1

Summary of patient data

Table 2

Functional evaluation scale (by Sanders et al, 1991)

^*Excellent=36~40 pts, Good=26~35 pts, Fair=16~25 pts, Poor=0~15 pts.

Table 1 Summary of patient data

Table 2 Functional evaluation scale (by Sanders et al, 1991)

^*Excellent=36~40 pts, Good=26~35 pts, Fair=16~25 pts, Poor=0~15 pts.