Functional Outcome of Treatment of Distal Femoral Fracture by Retrograde Intramedullary Nailing - IMSC Nail

Dr. Arjun Pathak, Dr. Janak Rathod, Dr. Prabhav Tijoriwala, Dr. Pratik Sidhdhpuria, Dr. Pratik Rakholiya

Abstract: Introduction: Retrograde intramedullary nailing has been described by several researchers as a reliable, minimally invasive, and reproducible method for managing type A distal femoral fractures. In this study, we assessed the clinical, radiological, and functional outcomes of 30 patients who underwent retrograde nailing, with an average follow-up duration of 18 months. While open reduction and internal fixation with plating remains a commonly used method, retrograde nailing has also demonstrated favorable results. Materials and Methods: A total of 30 patients with distal femoral fractures treated between March 2023 and November 2024 were included in this study. All patients underwent closed reduction followed by retrograde intramedullary nailing. Data collected included laterality of the fracture, gender distribution, duration of surgery, time to fracture union, and postoperative complications. Results: Among the 30 patients, 21 were male and 9 were female, with an average age of 34.3 years (ranging from 18 to 85 years). Twelve of the cases (60%) involved the dominant limb. The average surgical time was 88.98 minutes (range: 50?150 minutes). Radiological union was achieved on average in 14.3 weeks (range: 10?16 weeks), while clinical union occurred at around 10.4 weeks. Conclusion: This study supports retrograde intramedullary nailing as an effective method for treating type A distal femoral fractures. It offers high union rates and excellent functional outcomes. When performed by experienced surgeons, it is a safe, efficient, and cosmetically favorable surgical option compared to traditional plating techniques.

Keywords: distal femur fracture, retrograde nailing, fracture healing, functional recovery, intramedullary fixation

How to Cite?: Dr. Arjun Pathak, Dr. Janak Rathod, Dr. Prabhav Tijoriwala, Dr. Pratik Sidhdhpuria, Dr. Pratik Rakholiya, "Functional Outcome of Treatment of Distal Femoral Fracture by Retrograde Intramedullary Nailing - IMSC Nail", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 232-237, https://www.ijsr.net/getabstract.php?paperid=SR25803170556, DOI: https://dx.doi.org/10.21275/SR25803170556