Bicolumnar reconstruction with Medial Titanium Elastic Nailing System in Distal Femur Fractures

Authors

Dr Sanjay barnwal, Dr Sanjay Gaikwad, Dr Jaynit Malviya, Dr Prafulla Herode, Dr Tushar Kadam, Dr Rohan Killekar Author

Keywords:

TENS Nail, distal femur fracture, varus angulation, medial femoral comminution

Abstract

Background: Distal femur fractures are often unstable, comminuted and are associated with complications like mal-alignment, non-union, infections. In this study we report functional outcome of 34 patients managed in our centre with lateral locking compression plate and medial TENS nail.
Methods: Prospective observational cross sectional study of functional radiological outcome of 34 patients of comminuted distal femur fracture was done. These patients were operated with lateral locking compression plate and medial TENS nail and followed up for 12-18 months and functional outcome was assessed using Schatzker and Lambert scoring system.
Results: Complications were observed in 14.71% (5 participants) of the cases, while 85.29% (29 participants) experienced no complications after surgery. The most common complications were arthritis (8.83%, 3 cases) and infection (5.88%, 2 cases).
Conclusion: Using a TENS nail to manage a medial femoral comminution alongside a distal femoral locking compression plate may eliminate the requirement for a plate on the medial side.