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Corresponding Author

Ahmed Hussein Abu Fotouh Hussein

Document Type

Original Article

Abstract

Background: A variety of techniques, such as the retrograde intramedullary nail and the locked compression plate, can treat distal femur fractures. These are only two of the many management options available.

Aim and objectives: To look at the differences between a locked plate and a retrograde nail in fixing extraarticular distal femur fractures and see which one works better and causes fewer problems after surgery.

Patients and methods: Prospective research was performed on 20 cases of distal femoral fractures: 10 patients treated with femoral retrograde interlocking nails, ten patients who were treated with compression plates located in the distal femoral region at the Orthopedics Surgery Department, El-Salam Specialized Hospital, and El-Zahraa University Hospital, Cairo, Egypt.

Results: No significant variance was observed among the groups under investigation as regards time to union and knee range of motion (P = 0.146). In the retrograde nail group, infection wasn't observed; however, it was noticed in only one case in the locked plate group. We observed no significant variance among the two groups. Only one case in each group suffered from pain, so we observed no significant variance between the two groups.

Conclusion: Nail systems offer better outcomes, reduced surgical morbidities, and better rehabilitation, but they require significant surgical experience and careful preoperative planning.

Keywords

Locked plate; Retrograde nail; Extra articular distal femur fractures

Subject Area

Orthopedics

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