OBJECTIVES: To investigate the management and outcome of @entity174 treated with retrograde nailing. DESIGN: Prospective. SETTING: Unfallkrankenhaus Berlin, level I @entity130 center. @entity1 : A consecutive series of 47 @entity1 with 48 @entity174 of the distal femur (37 @entity174 @entity1129 and 11 @entity174 type C) operated on between May 1999 and June 2000. OUTCOME MEASURES: Outcome was assessed by using standard radiographic criteria of time to union, incidence of @entity281 , malunion, and knee function (Leung score). RESULTS: After an average time of 33 months (range 12-37 months), 44 @entity1 were reexamined. Three @entity1 were lost to follow-up. The average age was 44 years (range 17-92 years). Of @entity1 , 19 sustained polytrauma, and 10 had associated soft tissue damage. A total of 34 @entity1 underwent primary @entity17558 after @entity130 . All @entity174 healed after an average of 12.6 weeks (range 9-17 weeks). Seven complications were noted-three related to severity of injury (one deep venous thrombosis, two leg length shortenings of 1.5 cm and 2.5 cm) and four related to the operation (insufficient counterboring of the nail in two @entity1 , one malreduction, one iatrogenic fracture of femur shaft). There was no relevant difference between type A and type C @entity174 in functional, clinical, or radiographic outcomes. CONCLUSIONS: Retrograde nailing is recommended as an alternative method to plate osteosynthesis in @entity3330 , particularly in type C @entity174 .

Retrograde fixation of XXXX : results using a new nail system.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'distal femur fractures'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity17558 :: ('MESH:C538001', 'Disease') :: ['definitive osteosynthesis within 12 hours'] @entity1129 :: ('MESH:D001260', 'Disease') :: ['AO type A'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['stabilizing distal femoral fractures'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity3330 :: (MESH:D005264,Disease) :: ['distal femoral fractures']
