@article{ref1,
title="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",
journal="European journal of orthopaedic surgery and traumatology",
year="2024",
author="Adesina, Stephen Adesope and Amole, Isaac Olusayo and Adefokun, Imri Goodness and Adegoke, Adepeju Olatayo and Akinwumi, Akinsola Idowu and Odekhiran, Ehimen Oluwadamilare and Durodola, Adewumi Ojeniyi and Ojo, Simeon Ayorinde and Eyesan, Samuel Uwale",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1633-8065",
doi="10.1007/s00590-023-03828-z",
url="http://dx.doi.org/10.1007/s00590-023-03828-z"
}