Retrograde Intramedullary Nailing in Femoral Fractures

Material and MethodsThe present retrospective study was conducted in the Department of Orthopaedics, PGIMS Rohtak and included 10 cases aged between 20-70 years, who were operated for distal femoral shaft fractures over last 3 years with distal femoral nailing.Patients were retrospectively followed up with all their previous surgical records and radiographs.Patients were clinically examined, and functional outcomes were noted.Patients with age more than 70 years, having congenital or acquired deformity of injured limb before surgery, pathological fractures and open fractures were excluded from the study.Radiographs were taken in two planes, anteroposterior view, and lateral view before planning for surgical fixation for distal femur fractures.Patients were laid supine with affected knee placed in ~30° flexion over operating table with a bolster underneath the knee.Knee flexion prevents distal fragment from being pulled into more flexion by gastrocnemius.Inferior pole of patella and borders of patella tendon were marked.A 2cm incision was made from inferior pole of patella distal through tendon.We used a Transtendinous approach.Tenotomy was done to develop paratenon layer, sharp