PURPOSE. To review records of 11 patients who underwent retrograde nailing in conjunction with blocking screws to aid fracture reduction for distal femoral shaft fractures. METHODS. Records of 8 men and 3 women aged 27 to 60 (mean, 41) years who underwent retrograde nailing with the use of blocking screws for distal femoral shaft fractures were reviewed. Two of the fractures were open and grade...

False aneurysm is a rare cause of non-union of a fracture. Reports have recently been published by Bassett and Houck (1964), Dameron (1964) and Meyer and Slager (1964), in which injury to the arteria profunda femoris or its branches complicated the insertion of screws across the femoral shaft and resulted in the development of false aneurysm. The case reported here complicated intramedullary na...

We report on a 17-year-old man who underwent open reduction and internal fixation for an inferior dislocation of the right hip and displaced fractures of the right femoral head and neck, and antegrade intramedullary nailing for a displaced fracture of the left femoral shaft. In addition, 13 men and 4 women aged 5 to 56 (mean, 23) years with 16 unilateral and one bilateral inferior dislocation o...

Rotational deformity is a more common problem than one might expect in the treatment of femoral shaft fractures. This review presents two cases of femoral malrotation following intramedullary nailing of the femur. The presentation, importance of early recognition, investigation with a CT scan, and the technique of correction is discussed in detail. The importance of intra-operative assessment t...

Intramedullary nailing with expandable nails is one of the techniques available for the treatment of fractures of long bones. Concerns regarding bony union have been reported in medical literature, but no case of femoral nail breakage secondary to delayed union has been reported to date. We present a case of a broken expandable femoral nail secondary to delayed union, and we describe the techni...

The purpose of this communication is to present a simple method of exposure of the hip joint for the insertion of an artificial femoral head in patients who have fracture of the femoral neck or osteoarthritis of the hip, many of whom are old or feeble. For fractures of the femoral neck, the prevalent view seems to be that operation should always be undertaken unless the patient is moribund or s...

BACKGROUND Fractures of the distal femoral epiphysis and metaphysis are complex musculoskeletal injuries posing a significant clinical problem. The incidence of compound femoral fractures has been growing owing to the rapid development of the motor industry. The fractures are most commonly the result of high-energy traumas during road accidents or falls from a height. MATERIAL AND METHODS A t...

We present results of supracondylar nailing in six patients who suffered distal femoral fractures above total knee arthroplasty. The average age of patients was 68 (42-92) years. All six fractures healed in a satisfactory alignment in an average duration of 14.6 weeks. There were no wound infection, loss of reduction or implant failure. All patients had regained their previous range of movement...