Flexible intramedullary nailing for distal femoral fractures in patients with myopathies |
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| Authors: | Hanspeter Huber Guillaume André Francine Rumeau Pierre Journeau Thierry Haumont Pierre Lascombes |
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| Affiliation: | (1) Department of Pediatric Orthopaedic Surgery, CHU Brabois H?pital d’Enfants, Chirurgie Infantile A, Rue du Morvan, 54500 Vandoeuvre les Nancy, France;(2) Department of Surgery, University Children’s Hospital of Z?rich, Steinwiesstrasse 75, 8032 Zurich, Switzerland;(3) Service MPR, Institut R?gional de R?adaptation, Centre de R?f?rence Maladies Neuro-musculaires, H?pital d’Enfants, Rue du Morvan, 54500 Vandoeuvre les Nancy, France;(4) Present address: Department of Pediatric Orthopaedic, University Hospitals of Geneva (HUG), Rue Willy Donz? 6, 1211 Geneva 14, Switzerland; |
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| Abstract: | Purpose Distal femoral fractures are quite common in nonambulating patients with myopathies, as they present marked osteoporosis. The deterioration of preexisting knee flexion contracture is a known problem, as these fractures are usually angulated posteriorly. The goals of treatment are to reduce immobilization and bed rest to a minimum, prevent function loss, and prevent refracture. The aim of our work was to investigate if these goals can be achieved by an operative treatment with closed reduction and flexible intramedullary nailing (FIN). |
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| Keywords: | Femoral fracture Duchenne muscular dystrophy Myopathy Flexible intramedullary nailing Knee flexion contracture |
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