DOI: 10.36347/sjams.2021.v09i04.019

Pages: 583-587

Background: Retrograde intramedullary nailing is a good surgical option in the management of distal femur fracture with osteoporosis. Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. The distal femur is where the bone flares out like an upside-down funnel. The distal femur is the area of the leg just above the knee joint. Methodology: The prospective Study was conducted in the Department of Orthopaedic Surgery of Dhaka Medical College Hospital, Dhaka, Bangladesh to find out the common indications of Distal Third Femoral Shaft Fracture. Clinical examination and evaluation were done from January 2005 to December 2006. Other necessary investigations were done if clinically indicated and to prepare the patient for anesthesia. 15 cases were randomly selected for the study whose common indication of Distal Third Femoral Shaft Fracture. In most cases, injury was high energy trauma due to motor vehicle accident and there was a preponderance of fracture on the right side (70%) than the left side (30%). All patients reported after trauma and were resuscitated and fixed at earlier possible date. Maximum patients were operated upon within 2 weeks. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences (SPSS-22). Results: Mean age of the patients was 40.5 years and majority of the patients (86.66%) were male with male-female ratio 6.5:1 Six patients developed delayed union. At the end of follow-up, functional scoring was done on the basis of hospital for special surgery score and the results were excellent in 9(30%) cases, good in 14(46.66%), fair in 4(13.33%6) and poor in 3(10%) cases. Conclusions: The management of distal femoral shaft fractures constitutes a therapeutic dilemma; the problems are primarily related to basic anatomic structure and biomechanical stresses of this region. Conservative method resulted in high rates of morbidity...