Osteosynthesis and Trauma Care 2002; 10(Suppl 1): S7-S8
DOI: 10.1055/s-2002-33826
© Georg Thieme Verlag Stuttgart · New York

4 Years Clinical Findings in Retrograde Nailing of Fractures of the Distal Femur

P. T. Funovics, V. Vécsei, G. E. Wozasek
  • Department of Traumatology, University of Vienna Medical School, Vienna General Hospital, Vienna, Austria
Further Information

Publication History

Publication Date:
11 September 2002 (online)


We report on the 22 first consecutive cases of distal femoral fractures in 22 patients (2 male and 20 female, average age 65 years, 16-97 years) treated with closed retrograde femoral nailing from October 1994 to June 1997. Indications for surgery were AO-33 A1 (n = 10), 33 A2 (n = 2), 33 A3 (n = 3) and 33 C2 (n = 7) classified fractures. In 17 cases primary union was achieved within 10.5 weeks (8-17 weeks), 5 patients died before consolidation. No infections or thromboses were observed postoperatively. Patients returned to full weight-bearing after 5 weeks (4-12 weeks), knee motion was satisfactory, ranging from 80° to 130°. 11 patients surviving an average of 5.2 years (4.3-6.9 years) were evaluated according to the Leung Score. 7 had excellent, 4 good results with an average of 84.3 points (70-92 points). 4 patients had slightly reduced walking ability, 4 complained about mild knee pain. Patients younger than 60 years returned to full preoperative activity level. These mid- to long-term results confirm closed retrograde femoral nailing to be a good alternative to plate osteosynthesis for certain indications.


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Dr. P. T. Funovics

Department of Trauma Surgery

University of Vienna

Währinger Gürtel 18-20

1090 Vienna


Email: philipp.funovics@akh-wien.ac.at