Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning

Purpose This study presents the technique and results of acute correction of distal femoral deformities using retrograde femoral nailing based on preoperative planning without using a fixator. Methods Twenty-eight patients (34 limbs: 22 left-sided, 12 right-sided, mean age = 36 years) undergoing dis...

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Main Authors: Mesut Kariksiz, Ozgur Karakoyun
Format: Article
Language:English
Published: SAGE Publishing 2022-11-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/10225536221143552
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author Mesut Kariksiz
Ozgur Karakoyun
author_facet Mesut Kariksiz
Ozgur Karakoyun
author_sort Mesut Kariksiz
collection DOAJ
description Purpose This study presents the technique and results of acute correction of distal femoral deformities using retrograde femoral nailing based on preoperative planning without using a fixator. Methods Twenty-eight patients (34 limbs: 22 left-sided, 12 right-sided, mean age = 36 years) undergoing distal femoral deformity correction with retrograde femoral nailing between 2013 and 2020 were examined retrospectively. The osteotomy line, block screw location and number were identified by detailed preoperative planning. Osteotomy was performed using the percutaneous multiple drill method, and the retrograde femoral nail was placed. Results The average follow-up period was 62.7 months (range: 13–84 months). Postoperatively, the mean mechanical axis deviation was corrected to 6.8 mm (range: 0–8 mm) and the mean mechanical lateral distal femoral angle to 87.42° (range: 84–90°). The Association for the Study an Application of the Method of Ilizarov (ASAMI) score was excellent for all patients. None of the patients had fracture, infection, implant failure, or non-union. Conclusion Distal femoral deformities can be corrected acutely, without applying external fixators, with good preoperative planning and using the retrograde femoral nail. This technique is safe and effective, with a low complication rate.
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spelling doaj.art-532730c94d3d41d28c395b8964e93ca42022-12-22T03:45:18ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902022-11-013010.1177/10225536221143552Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planningMesut KariksizOzgur KarakoyunPurpose This study presents the technique and results of acute correction of distal femoral deformities using retrograde femoral nailing based on preoperative planning without using a fixator. Methods Twenty-eight patients (34 limbs: 22 left-sided, 12 right-sided, mean age = 36 years) undergoing distal femoral deformity correction with retrograde femoral nailing between 2013 and 2020 were examined retrospectively. The osteotomy line, block screw location and number were identified by detailed preoperative planning. Osteotomy was performed using the percutaneous multiple drill method, and the retrograde femoral nail was placed. Results The average follow-up period was 62.7 months (range: 13–84 months). Postoperatively, the mean mechanical axis deviation was corrected to 6.8 mm (range: 0–8 mm) and the mean mechanical lateral distal femoral angle to 87.42° (range: 84–90°). The Association for the Study an Application of the Method of Ilizarov (ASAMI) score was excellent for all patients. None of the patients had fracture, infection, implant failure, or non-union. Conclusion Distal femoral deformities can be corrected acutely, without applying external fixators, with good preoperative planning and using the retrograde femoral nail. This technique is safe and effective, with a low complication rate.https://doi.org/10.1177/10225536221143552
spellingShingle Mesut Kariksiz
Ozgur Karakoyun
Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
Journal of Orthopaedic Surgery
title Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
title_full Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
title_fullStr Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
title_full_unstemmed Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
title_short Acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
title_sort acute correction of distal femoral deformities by retrograde femoral nail using preoperative planning
url https://doi.org/10.1177/10225536221143552
work_keys_str_mv AT mesutkariksiz acutecorrectionofdistalfemoraldeformitiesbyretrogradefemoralnailusingpreoperativeplanning
AT ozgurkarakoyun acutecorrectionofdistalfemoraldeformitiesbyretrogradefemoralnailusingpreoperativeplanning