Dl. Helfet et Dg. Lorich, RETROGRADE INTRAMEDULLARY NAILING OF SUPRACONDYLAR FEMORAL FRACTURES, Clinical orthopaedics and related research, (350), 1998, pp. 80-84
As an alternative to standard AO/Association for the Study of Internal
Fixation plate and screw techniques, retrograde intramedullary locked
nailing of supracondylar and intracondylar (AO/Association for the St
udy of Internal Fixation Type 33) fractures is reviewed. This includes
a historic review, the technique for knee arthrotomy, fracture reduct
ion and nail insertion, and the reported clinical and biomechanical re
sults. The retrograde intramedullary locked nail is a viable alternati
ve for the treatment of AO/Association for the Study of internal Fixat
ion Type 33-A and some C supracondylar femoral fractures and should be
part of the internal fixation armamentarium, however, it does not rep
lace the standard biologic plate and screw techniques for most fractur
es.