A Clinical Analysis of Surgical Approaches for Supracondylar Femur Fractures: The Efficacy of Multidirectional Retrograde Intramedullary Nailing (Code-T0132)

Introduction: Supracondylar femur fractures are a complex type of injury commonly occurring in trauma patients. They present challenges in achieving optimal alignment, fixation, and functional outcomes. Various surgical techniques have been explored, with retrograde intramedullary nailing (IMN) emerging as a promising approach due to its minimal invasiveness and strong fixation. This study evaluates the efficacy of multidirectional retrograde IMN in the surgical management of supracondylar femur fractures.

Aims and Objectives: The primary aim was to assess the clinical outcomes, including fracture healing, complication rates, and functional recovery, following treatment with multidirectional retrograde IMN. Secondary objectives included evaluating the impact on alignment, stability, and limb function.

Methods: This prospective clinical study involved 50 patients with supracondylar femur fractures treated surgically with multidirectional retrograde IMN. Patients were assessed preoperatively and postoperatively at regular intervals using clinical examination, radiographic imaging, and functional outcome scales such as the Knee Society Score (KSS).

Results: The average time to union was 12 weeks, with 92% of patients achieving good or excellent outcomes in terms of fracture healing and functional recovery. There was a low complication rate, with no cases of nonunion or implant failure. Alignment and limb function were restored in most cases, and patients reported significant improvement in mobility and pain reduction.

Conclusion: Multidirectional retrograde intramedullary nailing offers a safe and effective surgical approach for supracondylar femur fractures, providing reliable fracture fixation, minimal complications, and favorable functional outcomes.

Keywords: Supracondylar femur fractures, Multidirectional retrograde intramedullary nailing, Surgical management, Fracture healing, Functional recovery, Clinical outcomes.