Assessment of knee pain and knee range of motion (ROM) in distal third femur shaft fractures managed with retrograde (RG) intramedullary locking nail: A Retrospective study.
Keywords:HSS Scoring System, Knee Pain, Knee ROM, Retrograde Intramedullary Nail
Objective: To assess knee pain and ROM in distal third femoral Fracture managed with RG intramedullary nailing technique. Study Design: Retrospective study. Setting: Ghurki Trust Teaching Hospital, Lahore. Period: November 2020 to March 2021. Material & Methods: 38 patients with extra-articular distal femoral Fracture were surgically treated in our center with an RG IM nail. The functional Outcome of the knee for knee pain and knee ROM was assessed using a modified Hospital for Special Surgery (HSS) Knee Score. Results: In this study, a total of 38 patients were diagnosed with distal third femur shaft fractures managed with retrograde (RG) intramedullary locking nail; among these, 31(81.6%) were males, and 7(18.4%) were females. The mean age of patients was 29.76±11.87, ranging from (16-50) years. In more than half of the cases, 30(78.9%) had a history of injury as RTA and 8(21.1%) sustained fall. The right side effected 65.8% of cases compared to the left side. 60.53% of cases had excellent functional Outcomes due to HSS sore between 85-100, 7.89% had good Outcomes because of scores ranging from 70-84, 26.32 had fair, and 5.285 had poor outcomes, respectively. There was no case with extension lag. Conclusion: Based on this study, RG IM nail fixation of distal extra-articular femur fracture can be safely performed, and improved knee function score can be anticipated with meticulous patient selection and adherence to proper postoperative physical therapy protocol.
Copyright (c) 2023 The Professional Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.