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Volume 27, Issue 132, February 2023

Revision surgery in comminuted distal one-third femur fracture using retrograde intramedullary nail: A case report

Rushikesh Shukla¹, Sonali G Choudhari²

¹Medical Student, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha (MS), India
²Professor, Department of Community Medicine, School of Epidemiology & Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education & Research, Wardha (MS), India

ABSTRACT

Fractures of the distal one-third of the Femur bone are quite common nowadays due to the increase in the incidence of road traffic accidents, falls, sports and outdoor activity, etc. Retrograde intramedullary nailing has been considered a good surgical intervention for the management of such cases. Cement augmentation and shape memory alloy is also preferred to provide mechanical stability at the site of fracture. However, in the case of comminuted fracture, this modality of surgery cannot be used as the first option of choice. The present case report of 18 years old male who sustained a comminuted fracture of the distal one-third of the femur reviews the progression of the case after the first surgery using open reduction and internal fixation and plating and postoperative complication of nonunion after dynamization. It also describes the outcome of revision surgery using the retrograde intramedullary nail.

Keywords: Comminuted fracture, retrograde intramedullary nail, Surgery, Distal femur fracture