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SAS Journal of Surgery | Volume-7 | Issue-04
Management of Supracondylar Fracture of Femur by Short SIGN Nail Procedure
Dr. Md. Matiul Islam, Dr. Md. Monowar Tarik, Dr. Muhammad Arozullah
Published: April 17, 2021 | 125 93
DOI: 10.36347/sasjs.2021.v07i04.008
Pages: 187-192
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Abstract
Background: Supracondylar fracture of femur which is also known as distal fracture occurs when the femur is broken at the knee. Retrograde femoral nailing can be defined as any femoral nailing technique with a distal entry from the condyles or through an intercondylar, intra-articular starting point. We have very few data regarding the effectiveness of retrograde short SIGN nail procedure in treating supracondylar fracture of femur. Aim of the study: The aim of this study was to evaluate the management and effectiveness of retrograde short SIGN nail in treating supracondylar femoral fractures (Type III, Neer and associate’s classification). Methods: This prospective observational study was carried conducted at the Dept. of Orthopaedic & Traumatology, Rajshahiii Medical College & Hospital, Rajshahi, Bangladesh during the period from January 2019 to December2019. In total 38 patients with supracondylar femoral fractures of type-III (As per Neer and associates classification) were finalized by purposive sampling method as the study people of this study. This study was approved by the ethical committee of the mentioned hospital. A predesigned questioner containing history and examination findings of the patient, operative procedure and follow-up was used to collect the data. All data were processed, analyzed and disseminated by MS Office and SPSS version 20 as per need. Result: In analyzing the duration of hospital staying of the participants we observed 66% patients stayed for 2-3 weeks whereas 34% stayed for >3 weeks in the hospital. In this study we observed 73.68% had union in due time, 21.05% had delayed union and 5.26% developed non-union. In analyzing the complications among the participants, we observed, the highest numbers of participants suffered from superficial infection which was associated in 15.79%. Besides this, as complication 13.16%, 7.89%, 5.26% and 2.63% participants suffered from knee stiffness, anterior knee pain, shortening and screw loosening....