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Related Experiment Video

Updated: Jun 25, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Retrograde femoral nailing and knee function.

Patrick Murray1, Patrick Bergin, Panos Labropoulos

  • 1Clarkstown Orthopedics, 2 Crosfield Ave, Ste 422, West Nyack, NY 10094, USA.

Orthopedics
|February 20, 2009
PubMed
Summary

Retrograde femoral nailing for femur shaft fractures resulted in worse knee function and range of motion compared to antegrade nailing. Hip function remained similar between the two surgical techniques.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Care

Background:

  • Femur shaft fractures are common injuries requiring surgical intervention.
  • Femoral nailing, either antegrade or retrograde, is a standard treatment.
  • Understanding functional outcomes is crucial for patient recovery.

Purpose of the Study:

  • To compare the functional outcomes of retrograde versus antegrade femoral nailing for femur shaft fractures.
  • To evaluate knee and hip function post-surgery.
  • To identify potential differences in complications and recovery.

Main Methods:

  • Retrospective review of 32 patients with femur shaft fractures treated with antegrade or retrograde nailing.
  • Data collection included demographics, injury severity (ISS, NISS), and hospital stay.
  • Functional outcomes assessed using Knee Injury and Osteoarthritis Outcome Score (KOOS) and Hip Dysfunction and Osteoarthritis Outcome Score (HOOS), along with physical examination.

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Last Updated: Jun 25, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats
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A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats

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Main Results:

  • Knee scores and range of motion (ROM) were significantly worse in the retrograde nailing group.
  • Hip function showed no significant difference between retrograde and antegrade groups.
  • Groups differed in hospital length of stay and additional injuries/surgeries, but were similar in age and follow-up duration.

Conclusions:

  • Retrograde femoral nailing is associated with poorer knee functional outcomes compared to antegrade nailing.
  • Antegrade nailing may be preferred for optimal knee function after femur shaft fracture treatment.
  • Further research could explore patient selection criteria for each technique.