Volume 1, 2015
|Number of page(s)||4|
|Published online||01 December 2015|
Retrograde nailing for distal femur fractures in the elderly
Department of Orthopaedics, Peterborough and Stamford Hospital NHS Foundation Trust, Peterborough City Hospital, Bretton Gate, PE3 9GZ
* Corresponding author: firstname.lastname@example.org
Accepted: 2 November 2015
Introduction: We report the results of treating a series of 56 fractures in 54 elderly patients with a distal femur fracture with a retrograde femoral nail.
Methods: Fifty-four of the nails were inserted percutaneously with a closed reduction. After surgery all patients were allowed to weight bear as tolerated. Four fractures were supported in a temporary external splint.
Results: The mean age of patients was 80.6 years (range 51–103 years), 52/54 (96%) were females. There were no cases of nail related complications and no re-operations were required. One patient was lost to follow up. The 30-day mortality was 5/54 (9.3%) and the one year mortality was 17/54 (31.5%).
Conclusions: Distal femoral nail fixation provides a good method of fixation allowing immediate mobilisation for this group of patients.
Key words: Distal femur fracture / Retrograde nail / Union / Complications / Mortality
© The Authors, published by EDP Sciences, 2015
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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