Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up

Introduction: This study evaluates the functional outcomes of combining distal femur plating with retrograde femur nailing in treating comminuted distal femur fractures. Case Report: A retrospective analysis was conducted on patients treated at a tertiary health care center from January 1, 2023, to...

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Main Authors: Sachin Kale, Shikhar Singh, Arvind Vatkar, Rohan Jayaram, Sonali Das, Ashmit Verma
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-02-01
Series:Journal of Orthopaedic Case Reports
Subjects:
Online Access:https://jocr.co.in/wp/2025/02/01/outcomes-of-combined-distal-femur-plating-and-retrograde-femur-nailing-in-comminuted-distal-femur-fractures-case-series-of-seven-cases-with-6-months-follow-up/
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author Sachin Kale
Shikhar Singh
Arvind Vatkar
Rohan Jayaram
Sonali Das
Ashmit Verma
author_facet Sachin Kale
Shikhar Singh
Arvind Vatkar
Rohan Jayaram
Sonali Das
Ashmit Verma
author_sort Sachin Kale
collection DOAJ
description Introduction: This study evaluates the functional outcomes of combining distal femur plating with retrograde femur nailing in treating comminuted distal femur fractures. Case Report: A retrospective analysis was conducted on patients treated at a tertiary health care center from January 1, 2023, to November 30, 2023. The cohort comprised patients with an average age of 54.57 years (standard deviation [SD] = 13.34) and a male-to-female ratio of 3:4. The primary outcome measure was knee range of motion (ROM). At the 1.5-month follow-up, the average knee flexion was 54° (SD = 13.46). This improved to 110° (SD = 8.7) at 3 months and to 138.6° (SD = 7.34) at the 6-month follow-up. These findings indicate significant improvement in knee function over the study period. All patients showed union at fracture sites at the end of 6 months. Conclusions: The combination of distal femur plating and retrograde femur nailing demonstrates promising functional recovery in knee ROM for patients with comminuted distal femur fractures. This surgical approach may offer an effective strategy for enhancing post-operative outcomes in this patient population.
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spelling doaj-art-d6cac86635bf432687f0cea6928cd67c2025-08-20T02:36:42ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-02-0115220320810.13107/jocr.2025.v15.i02.5284Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-upSachin KaleShikhar SinghArvind VatkarRohan JayaramSonali DasAshmit VermaIntroduction: This study evaluates the functional outcomes of combining distal femur plating with retrograde femur nailing in treating comminuted distal femur fractures. Case Report: A retrospective analysis was conducted on patients treated at a tertiary health care center from January 1, 2023, to November 30, 2023. The cohort comprised patients with an average age of 54.57 years (standard deviation [SD] = 13.34) and a male-to-female ratio of 3:4. The primary outcome measure was knee range of motion (ROM). At the 1.5-month follow-up, the average knee flexion was 54° (SD = 13.46). This improved to 110° (SD = 8.7) at 3 months and to 138.6° (SD = 7.34) at the 6-month follow-up. These findings indicate significant improvement in knee function over the study period. All patients showed union at fracture sites at the end of 6 months. Conclusions: The combination of distal femur plating and retrograde femur nailing demonstrates promising functional recovery in knee ROM for patients with comminuted distal femur fractures. This surgical approach may offer an effective strategy for enhancing post-operative outcomes in this patient population.https://jocr.co.in/wp/2025/02/01/outcomes-of-combined-distal-femur-plating-and-retrograde-femur-nailing-in-comminuted-distal-femur-fractures-case-series-of-seven-cases-with-6-months-follow-up/distal femur fracturescombined nail and platebone unionknee function
spellingShingle Sachin Kale
Shikhar Singh
Arvind Vatkar
Rohan Jayaram
Sonali Das
Ashmit Verma
Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up
Journal of Orthopaedic Case Reports
distal femur fractures
combined nail and plate
bone union
knee function
title Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up
title_full Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up
title_fullStr Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up
title_full_unstemmed Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up
title_short Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up
title_sort outcomes of combined distal femur plating and retrograde femur nailing in comminuted distal femur fractures case series of seven cases with 6 months follow up
topic distal femur fractures
combined nail and plate
bone union
knee function
url https://jocr.co.in/wp/2025/02/01/outcomes-of-combined-distal-femur-plating-and-retrograde-femur-nailing-in-comminuted-distal-femur-fractures-case-series-of-seven-cases-with-6-months-follow-up/
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