Retrograde intramedullary nailing with supplemental plate and lag screws allows early weight bearing following distal end-segment femur fractures (AO/OTA 33) in a low-resource setting.

التفاصيل البيبلوغرافية
العنوان:	Retrograde intramedullary nailing with supplemental plate and lag screws allows early weight bearing following distal end-segment femur fractures (AO/OTA 33) in a low-resource setting.
المؤلفون:	Adesina SA; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria. stephen.adesina@bowen.edu.ng.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria. stephen.adesina@bowen.edu.ng., Amole IO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Adefokun IG; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria., Adegoke AO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Akinwumi AI; Adeleke University, P.M.B 250, Ede, Osun State, Nigeria., Odekhiran EO; National Orthopedic Hospital, P.M.B 2009, Igbobi, Yaba, Lagos, Nigeria., Durodola AO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Ojo SA; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Eyesan SU; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria.
المصدر:	European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2024 Apr; Vol. 34 (3), pp. 1519-1527. Date of Electronic Publication: 2024 Jan 24.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Springer-Verlag France Country of Publication: France NLM ID: 9518037 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1068 (Electronic) Linking ISSN: 16338065 NLM ISO Abbreviation: Eur J Orthop Surg Traumatol Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Paris : Springer-Verlag France
مواضيع طبية MeSH:	Femoral Fractures/surgery , Femoral Fractures/etiology , Fracture Fixation, Intramedullary*/adverse effects, Humans ; Bone Nails ; Femur ; Treatment Outcome ; Weight-Bearing ; Prospective Studies
مستخلص:	Purpose: To underline the feasibility of achieving early weight bearing in patients with distal end-segment femur fractures (AO/OTA 33) treated with retrograde intramedullary nailing and supplemental plate or lag screws in the absence of C-arm. Methods: 41 distal end-segment femur fractures (DFFs) included in the study were treated with SIGN nails with or without a side plate in a center that lacked intraoperative fluoroscopy and fracture table. A medial or lateral para-patellar incision was used for fracture reduction, nail insertion and side plate placement. Follow-ups were done at six weeks, 12 weeks, and six months post-operatively. Results: Distal end-segment fractures constituted 13.2% of all femur fractures treated. The patients' mean age and range were 49.6 and 23-83 years respectively. They were mostly injured in road traffic accidents. 27 were daily-income earners. By the 12th week post-operatively, 82.1% of them could flex their knee beyond 90°, all of them could bear weight fully, and 71.8% could squat & smile. Conclusion: The study highlighted the procedure for retrograde nailing of DFFs in a setting without the requisite facilities for minimally-invasive surgeries. The findings demonstrated the feasibility of achieving an expedited weight bearing for the predominantly daily-income-earning victims to ensure early return to work and poverty reduction. While the small sample size is a limitation, the study does provide information that could serve as a basis for future randomized controlled trials in low-resource settings. (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
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فهرسة مساهمة:	Keywords: Distal femur fractures; Intramedullary nailing; Low- and middle-income countries; Low-resource settings
تواريخ الأحداث:	Date Created: 20240124 Date Completed: 20240401 Latest Revision: 20240413
رمز التحديث:	20240413
DOI:	10.1007/s00590-023-03828-z
PMID:	38265741
قاعدة البيانات:	MEDLINE

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تدمد:	1432-1068
DOI:	10.1007/s00590-023-03828-z