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Updated: Mar 7, 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
Functional and Radiological Outcomes of Retrograde Nailing in Distal Femur Fractures: A Retrospective Study
Anjani Reddy Arva1, Nagakumar J S1, Sagar Venkataraman1
1Department of Orthopaedics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.
Retrograde intramedullary nailing (RIMN) effectively treats distal femur fractures, showing high union rates and good functional outcomes. Complications were minimal, making RIMN a reliable surgical option for these complex injuries.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Distal femur fractures are complex injuries requiring effective treatment.
- Retrograde intramedullary nailing (RIMN) is an emerging fixation method.
Purpose of the Study:
- To evaluate the functional and radiological outcomes of distal femur fractures treated with RIMN.
Main Methods:
- Retrospective study of 40 patients treated with RIMN.
- Minimum six-month follow-up and statistical analysis using SPSS version 22.
Main Results:
- Mean age 41.6 years, 80% males; 80% fractures due to RTAs.
- Mean union time 15.75 weeks; 57.5% excellent Neer score outcomes.
- Complications: 5% nail breakage, 20% anterior knee pain, 15% limb shortening.
Conclusions:
- RIMN is highly effective for distal femur fractures with satisfactory functional outcomes.
- High union rates and a relatively low complication profile support RIMN's reliability.
- RIMN offers favorable results and minimal complications for treating distal femur fractures.
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