RESULTS OF TREATMENT OF FRACTURES OF THE DISTAL END OF THE FEMUR USING THE NEW DEVICE BY THE METHOD OF RETROGRAD BLOCKING INTRAMEDULAR OSTEOSYNTHESIS
Keywords:
retrograde intramedullary osteosynthesis, fractures of distal end of femur, extra-articular and intra-articular fracturesAbstract
In fractures of the distal end of the femur, a bimodal age distribution has been identified, one peak of which occurs in young men with high-energy trauma, and the other in elderly women with low-energy trauma. It can be predicted that the incidence of fractures of the distal end of the femur will increase worldwide due to the aging of the population. While the use of blocking intramedullary rods and angular stabilizing plates is gradually becoming commonplace in the treatment of fractures of the distal end of the femur, there is still no consensus among surgeons on the best method of treating distal femoral fractures, especially intra-articular fractures.
In modern traumatology, retrograde intramedullary osteosynthesis has proven to be an effective method for treating fractures of the distal end of the femur. Extra-articular and intra-articular simple fractures of the distal end of the femur of type 33A according to the AO/OTA classification are indications for retrograde intramedullary osteosynthesis.
References
Hake ME, Davis ME, Perdue AM, Goulet JA. Modern implant options for the treatment of distal femur fractures. J Am Acad Orthop Surg. 2019;27(19):867–75.
Zhang Y. Clinical epidemiology of orthopaedic trauma. New York: Thieme; 2016.
Nieves JW, Bilezikian JP, Lane JM, et al. Fragility fractures of the hip and femur: incidence and patient characteristics. Osteoporos Int. 2010;21(3):399–408.
Du YR, Ma JX, Wang S, et al. Comparison of less invasive stabilization system plate and retrograde intramedullary nail in the fixation of femoral supracondylar fractures in the elderly: a biomechanical study. Orthop Surg. 2019;11(2):311–7.
Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. Surgical techniques and a review of the literature. Orthop Traumatol Surg Res. 2013;99(3):353–60.
Chantarapanich N, Sitthiseripratip K, Mahaisavariya B, Siribodhi P. Biomechanical performance of retrograde nail for supracondylar fractures stabilization. Med Biol Eng Comput. 2016;54(6):939–52.
Hoskins W, Sheehy R, Edwards ER, et al. Nails or plates for fracture of the distal femur? Data from the Victoria Orthopaedic Trauma Outcomes Registry. Bone Joint J. 2016;98-B(6):846–50.
Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma. 2007;21:S1–S133.
Yuan Y, Luo B, Hao Q, Yuan J, Qu GB, Hao PD, Zeng ZJ, Yang JF, Xu ZJ. Clinical outcomes of revision with retrograde intermedullary nailing for failed plating of distal femoral fractures: a retrospective study. Int Orthop. 2020.
Pekmezci M, McDonald E, Buckley J, Kandemir U. Retrograde intramedullary nails with distal screws locked to the nail have higher fatigue strength than locking plates in the treatment of supracondylar femoral fractures: a cadaver-based laboratory investigation. Bone Joint J. 2014;96-B(1):114–21.
Shavkatovna, S. S., Makhammatkulovich, R. N., & Ugli, M. S. T. (2024). Aspects of sarcopenia syndrome in oncological practice: Diagnosis and treatment. The American Journal of Medical Sciences and Pharmaceutical Research, 6(2).
Shakhanova, S. S., & Rakhimov, N. M. (2025). The role of troponin and IL-6 in immunological assessment of sarcopenia in oncological patients. Central Asian Journal of Medical and Natural Science, 6(3), 1229–1233.
Rakhimov, N. M., & Shakhanova, S. Sh. (2025). Omega-3 supplementation in combination therapy for anorexia syndrome in metastatic breast cancer. American Journal of Medicine and Medical Sciences.
