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Supracondylar nailing for difficult distal femur fractures
1Department of Orthopaedic Surgery, University Malaya Medical Center, Lembah Pantai, 50603 Kuala Lumpur, Malaysia. sawaik@hotmail.com
Purpose:
To evaluate outcome following supracondylar nailing for distal femur fractures.
Methods:
The clinical and radiological outcome for 13 patients treated between January 1995 and December 1998 at the University Malaya Medical Center was assessed. Patients were seen for follow-up for a mean duration of 20.2 months.
Results:
There were no cases of non-union or infection. Overall assessment of clinical outcome based on the criteria of Schatzker and Lambert was graded excellent in 6 patients, good in 3 patients, fair in 3 patients, and one graded as a failure.
Conclusion:
Supracondylar nailing for fixation of supracondylar (Arbeitsgemeinschaft für Osteosynthesefragen [AO] type A) and less comminuted intercondylar (AO type C1 and C2) fractures is recommended by the authors.
