Stable Fixation and Immediate Weight-Bearing after Combined Retrograde Intramedullary Nailing and Open Reduction Internal Fixation of Noncomminuted Distal Interprosthetic Femur Fractures

Mohammed S. Hussain, Steven Dailey, Frank R. Avilucea

Research output: Contribution to journalArticle

Abstract

With an aging population, treatment of interprosthetic femur fractures continues to pose a challenge to the orthopaedic surgeon. Retrograde intramedullary nailing combined with open reduction internal fixation using a tissue-preserving plating technique was used in our series of 9 patients with noncomminuted, distal femur fractures. No interfragmentary screws, cables, cerclage wires, or supplemental bone grafts of any type were used. Each patient initiated weight-bearing as tolerated after operative intervention. Every fracture healed at an average of 20 weeks (range 18-24 weeks). Use of a lateral locking plate combined with a retrograde intramedullary nailing enables immediate postoperative weight-bearing and stable fixation for patients with interprosthetic femur fractures.

Original languageEnglish (US)
Pages (from-to)e237-e240
JournalJournal of orthopaedic trauma
Volume32
Issue number6
DOIs
StatePublished - Jun 1 2018
Externally publishedYes

Keywords

  • interprosthetic femur fracture
  • intramedullary nail
  • plate

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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