Treatment of distal femur fractures with retrograde intramedullary nailing utilizing a tibial nail

Aim: Retrograde intramedullary nailing for the treatment of femur fractures is a sound option due to its advantages including ease implant placement and better control distal segment, especially in fractures. Unfortunately, retrograde femoral nails are not available most developing countries or rural areas. The primary aim study investigate outcomes an alternative fracture with using tibial nail. Material Method: Patients who had underwent nail between January 2020–March 2022 retrospectively evaluated. were treated other than nail, aged below 18, follow-up less 6 months, multiple fractures, open excluded. Patients’ demographics, time union, complications recorded. Functional included visual analogue pain score (VAS), Lysholm score, Tegner activity scale, Knee Society Score (KSS), Short Form-36 (SF36) on latest follow-up.Results: A total 15 patients (11 male, 4 female) met inclusion criteria study. mean age was 42.9±17.3 (range, 18 72) months. period 10.1±5.2 months 18). There no reduction loss failure during follow-ups. One patient nonunion. No intraoperative occurred. Persistent knee seen intraarticular screw removed arthroscopically. In follow-up, VAS 0.73±0.70 0 to2), 5.0±1.5 3 7), 90.9±9.9(range, 64 100), KSS 86.6±8.6 70 97), SF-36 96.5±4.7 87 100). Conclusion: results this suggest that has good functional should be considered as where available.