الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Overall, the treatment of distal femoral fractures represents a challenge for the orthopedic surgeon due to many factors -such as the type of fracture, the bone quality, the proximity of the fracture to the knee joint, the time course and the overall status of the patient- to obtain an appropriate postoperative course.
Objective: To compare between retrograde intramedullary nailing and locked plating for the treatment of extra-articular distal femur fractures.
Patients and Methods: A prospective study was conducted on 30 patients in Ain Shams University Hospital with extra-articular distal femur fractures and who are candidates for internal fixation. The method which was done to manage those patients is mini invasive open / closed reduction and internal fixation by retrograde intramedullary nailing (15 patients) or locked plating (15 patients).
Results: In our study, 30 patients with supracondylar fractures of the femur type A (extraarticular) according to AO/ASIF classification were surgically treated.The implant choice was random for each patient. There were 15 (50 %) men and 15 (50 %) women. Patients with bilateral femoral fractures and/ or intraarticular comminution were excluded. All of the fractures were closed. The follow-up lasted 12 months.
Conclusion: No statistical differences in outcome between implants regarding healing, functional scores, operative time, hospital stay and complication rate. Both systems require precise preoperative planning and advanced surgical experience to reduce the risk of revision surgery. Clinical outcome may largely depend on surgical technique and rather than on the choice of implant.