Management of ipsilateral femoral and tibial fractures

Chang Wug Oh, Jong-Keon Oh, Woo Kie Min, In Ho Jeon, Hee Soo Kyung, Hyung Soo Ahn, Byung Chul Park, Poong Taek Kim

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11 Citations (Scopus)

Abstract

This is a retrospective study of 18 patients who had ipsilateral femoral and tibial fractures. They were treated by the retrograde femoral and antegrade tibial intramedullary nail from a single incision in the knee. The average time for union of femoral shaft fractures was 27.6 (18-40) weeks. One patient required antegrade nailing with a bone graft due to metal failure after using the short nail. Two tibial fractures required bone grafting due to bone loss, with an initial open fracture. The average time for union of tibial fractures was 24.5 (18-30) weeks. Functional results using the Karlstrom-Olerud criteria were excellent in 14, good in three, and acceptable in one. The only acceptable result was in a supra- and inter-condylar femoral fracture, with protrusion of the nail tip into the knee joint, which created moderate limitation of knee motion. Simultaneous retrograde femoral and antegrade tibial nailing with a single incision in the knee can achieve satisfactory results in the management of these types of fracture.

Original languageEnglish
Pages (from-to)245-250
Number of pages6
JournalInternational Orthopaedics
Volume29
Issue number4
DOIs
Publication statusPublished - 2005 Jul 1
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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    Oh, C. W., Oh, J-K., Min, W. K., Jeon, I. H., Kyung, H. S., Ahn, H. S., Park, B. C., & Kim, P. T. (2005). Management of ipsilateral femoral and tibial fractures. International Orthopaedics, 29(4), 245-250. https://doi.org/10.1007/s00264-005-0661-7