| Autor: |
Adesina, Stephen Adesope, Amole, Isaac Olusayo, Adefokun, Imri Goodness, Adegoke, Adepeju Olatayo, Akinwumi, Akinsola Idowu, Odekhiran, Ehimen Oluwadamilare, Durodola, Adewumi Ojeniyi, Ojo, Simeon Ayorinde, Eyesan, Samuel Uwale |
| Předmět: |
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| Zdroj: |
European Journal of Orthopaedic Surgery & Traumatology; Apr2024, Vol. 34 Issue 3, p1519-1527, 9p |
| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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