Related Experiment Video
Updated: Feb 16, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Complicated Open Supracondylar Fracture of the Femur Managed Primarily with an Autogenous Split Fibular Graft in
R Nandakumar1, Vineet Thomas Abraham, M Chandrasekaran
1Department of Orthopaedics, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry, 607 402, India abrahamvineet@hotmail.com.
Case:
A thirty-two-year-old man presented with an open type-IIIA Müller type-C2 supracondylar fracture of the femur and an ipsilateral segmental fracture of the tibia. An external fixator was used for initial stabilization. After ten days, the fractured femur was stabilized with a retrograde intramedullary nail along with an autogenous split fibular graft placed on either side of the nail; intramedullary nail fixation of the tibia was also performed. At the two-year follow-up, both fractures had united.
Conclusion:
An autogenous split fibular graft in conjunction with an intramedullary nail is a viable option to manage bone defects in complicated supracondylar fractures of the femur.
