Aser Adel Mansour
Dammam Medical Complex, Saudi Arabia
Title: Retrograde femoral nailing: Our experience
Biography
Biography: Aser Adel Mansour
Abstract
Introduction: Retrograde femoral nail is a technique that has recently been used with increasing frequency for the management of complex femoral shaft fractures. Purpose:The aim of this study was to investigate in a retrospective analysis the results of retrograde nailing in femoral shaft fractures with multiple other injuries. Methodology:Retrograde femoral nailing was used from 2002until 2012in Dammam Medical Complex for the treatment of complex femoral shaft fractures in 217 patients with . The preferred entry portal, the intercondylar notch, can be reached quickly and effectively by a variety of methods.The mean age of patients was 43,2 years (range 18: 65). Patients were followed till fracture healing . Result:Bony healing occurred in shaft fractures in 15,5 weeks on an average . Postoperative complications requiring re-intervention were seen in 6/48 (12, 5%) fractures. Infection 1 case (0.015).anterior knee pain 2 cases (0.03) Conclusion:our experience in DMC revealed that Retrograde locked intramedullary nailing represents a reliable fixation method for complex femoral shaft fractures .retrograde inserted nails offer a valuable alternative, especially when the proximal femoral approach is obstructed in polytrauma patients. Comminuted fracture shaft with big butterfly fragment and metaphyseal fractures better to be fixed by plates for more stability