Comminuted Refracture of the Distal Femur and Condyles in Patients with an Intramedullary Nail: A Report of 5 Cases

RK Sen, A Gul, S Aggarwal, SR Kumar, ON Nagi
2005 Journal of Orthopaedic Surgery  
manipulation, hardware removal, arthrolysis, and quadricepsplasty were needed. One patient was lost to follow-up. The final results of the knees were good, with more than 100 degrees range of movement. It is important to adhere to established internal fixation protocols in the treatment of these complex nail tip fractures. ABSTRACT Patients with in situ intramedullary nails sustaining a second distal femoral fracture following highvelocity trauma are infrequently reported in the literature. We
more » ... the literature. We report 5 such patients who sustained a second injury after 6 to 24 months, resulting in another fracture at the nail-tip level. These second fractures severely comminuted the femoral condyles. These patients required removal of the intramedullary nail, reconstruction of the comminuted femoral condyles, and stabilisation using an angled or buttress plate. Four of the 5 patients were followed up for a mean period of 36 months and were evaluated for knee status and outcome using Judet's criteria. Postoperative knee stiffness was common, and further interventions such as Journal of Orthopaedic Surgery 2005:13(3):290-295 Vol. 13 No. 3, December 2005 Refractures of the distal femur and condyle with IMN 291
doi:10.1177/230949900501300313 pmid:16365494 fatcat:iitdczltrfht7cpz22dvj5ajai