Distal femur nonunion treated with retrograde intramedullary nailing and RIA: a case report

Distal femur nonunion treated with retrograde intramedullary nailing and RIA: a case report

Authors

  • Francesco Pogliacomi Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Carlotta Artoni Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Filippo Calderazzi Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Massimiliano Leigheb Orthopaedics and Traumatology Unit, “Maggiore della Carità” Hospital, Università del Piemonte Orientale (UPO), Corso Mazzini 18, 28100 Novara (Italy)
  • Paolo Primiceri Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Alessio Pedrazzini Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy
  • Francesco Ceccarelli Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy
  • Enrico Vaienti Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy

Keywords:

distal femur, fracture, nonunion, fixation, plating, nailing

Abstract

The current treatment of distal femur fractures includes locking plating and retrograde intramedullary
nailing. These fractures are difficult to manage also for experienced surgeons, with results not always
satisfactory. Reported nonunion rates now range from 0 to 34%. Factors associated with nonunion include
comorbidities, such as obesity and diabetes, as well as the presence of open fractures, medial bone defects
and comminuted fractures. This case report summarizes all of these assumptions and it concerns a 58 years
old patient who underwent to 6 surgical procedures before to arrive to bone healing.

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Published

30-05-2020

How to Cite

1.
Distal femur nonunion treated with retrograde intramedullary nailing and RIA: a case report. Acta Biomed [Internet]. 2020 May 30 [cited 2024 Mar. 29];91(4-S):259-66. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9656