[Retrograde intramedullary fixation of distal femoral fractures]

Distal femoral fractures are a therapeutical challenge due to the high rate of complications. Classic implants like DCS or condylar blade plate require large incisions and also generate a high rate of malunion and nonunion. Retrograde femoral nail is an implant recently used in our department and the purpose of this paper is to present the surgical technique. We treated 6 patients using this method and results were very good in all cases. Operative steps are presented: preoperative planning, incision (we used open technique), guide insertion, nail insertion and screw looking. A review of literature shows that there are many authors considering that internal fixation with retrograde nail is a good choice in distal femoral fractures.