CONSEQUENCES OF RETROGRADE SUPRACONDYLAR NAILING AND LOCKING COMPRESSION PLATES FOR TREATMENT OF DISTAL FEMORAL FRACTURES: A RETROSPECTIVE STUDY
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Keywords
Locked Compression Plate, Retrograde Supracondylar Nail, distal femur fractures
Abstract
Background: Less than 7% of femur shaft fractures have been reported in the literature to involve distal third femoral fractures. The current discourse centers on the management of these fractures, emphasizing two well-known implants: the Locked Compression Plate (LCP) and the Retrograde Supracondylar Nail (RSN). Both of these implants has benefits and drawbacks of its own. Treatments for distal third femoral fractures currently include non-locking plates, pre-shaped locking compression plates, and retrograde supracondylar nails. Our understanding of the biological components of fracture fixation continues to advance.
Objective: To analyze the problems that arise after retrograde supracondylar nailing and locking compression plate treatment for distal femur fractures.
Study design: A retrospective study
Place and Duration: This study was conducted in Khyber Teaching Hospital Peshawar from August 2022 to August 2023
Methodology: All the patients who were involved in this research were those who were operated on for distal third femur fractures with LCP and RSN during the time period of this research. All of the participants were evaluated with X-rays. The clinical examination of each patient was performed. Skeletal traction was used in our study to immobilize individuals who had suffered injuries. Both surgical consent and pre-operative evaluations were completed. When treating open fractures, external fixation was done first, and within two to three weeks, definitive surgery was planned.
Results: A total of 60 patients were involved in this research. A total of 42 males and 18 females were included in this study. Overall 27 (45%) of the patients were treated with RSN and 33 (55%) of the participants were treated with LCP. A total of 13 patients in the RSN group and 18 patients in the LCP group had complications.
Conclusion: Both plating and nailing have shown benefits in addition to their respective drawbacks. The surgeon should choose the right implant after taking into account the fracture pattern, the patient's physical state, the length of the procedure, and any potential intraoperative difficulties.
References
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Suhail Wisal
Consultant Orthopedic Surgeon, Khyber Teaching Hospital Peshawar Pakistan.
Muhammad Shuaib Chandio
Assistant Professor Orthopedic, Shaheed Mohtrama Benazir Bhutto Medical University Larkana Pakistan.
Fayaz Hussain
Consultant Orthopedic Surgeon, Provincial Headquarter Hospital Gilgit Pakistan.
Waseem Ahmed
Assistant Professor Orthopedic, Muhammad Medical college and Hospital, Ibn e Sina University Mirpurkhas.
Mushtaque Ahmed Shaikh
Assistant Professor Orthopedic Surgery, Chandka Medical college @ SMBBMU Larkana Pakistan.
Sajid Younus
Consultant Orthopedic Surgeon, Memon Medical Institute Hospital Karachi Pakistan.