Abstract
We present our experience with a retrograde supracondylar nail used for the management
of fractures of the distal femur in elderly patients. Eighteen fractures of the distal
femur in 18 patients were treated with AIM titanium supracondylar nails. Sixteen patients
with a median age of 83 years (62–100 years) were finally available for review. All
16 fractures were classified as extra-articular type A according to the AO classification.
The average operative time was 58 min. Follow up ranged between 4 and 35 months (average
20.4 months). Fifteen fractures (93.7%) united in an average duration of 3.6 months.
The average range of motion achieved at the knee was 100.6°. There were no implant
failures, knee sepsis or wound healing problems. One non-union and two stress fractures
of the femur above the nail were the main complications in this series.
We concluded that the AIM titanium supracondylar nail is a useful alternative implant
for the management of the osteoporotic fractures of the distal femur particularly
the extra-articular AO type A fracture in the elderly population.
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Article info
Publication history
Accepted:
October 18,
1999
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
