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Orthopädie und Unfallchirurgie up2date 2025; 20(01): 19-28
DOI: 10.1055/a-2331-2941
Schritt für Schritt

Distale Femurfrakturen: Techniken der retrograden Marknagelung – Schritt für Schritt

Angelina Garkisch
,
Patrick Gahr
,
Vera Jaecker
,
Silvan Wittenberg
,
Sven Märdian
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Bei der Nagelungsosteosynthese distaler Femurfrakturen wird ein intramedullärer Nagel eingesetzt, der durch Verriegelungsschrauben fixiert wird. Dies ermöglicht neben der Stabilität und präzisen Rekonstruktion der Gelenkfläche ein minimalinvasives Vorgehen und die frühe Mobilisation des Patienten.

Schlüsselwörter

Traumatologie - Frakturversorgung - Marknagelung - Osteosynthese


Publication History

Article published online:
04 February 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Märdian S, Schaser KD, Duda GN. et al. Working length of locking plates determines interfragmentary movement in distal femur fractures under physiological loading. Clin Biomech (Bristol) 2015; 30: 391-396
    CrossrefPubMedSearch in Google Scholar
  • 2 Pietu G, Lebaron M, Flecher X. et al. Epidemiology of distal femur fractures in France in 2011–12. Orthop Traumatol Surg Res 2014; 100: 545-548
    CrossrefPubMedSearch in Google Scholar
  • 3 Elsoe R, Ceccotti AA, Larsen P. Population-based epidemiology and incidence of distal femur fractures. Int Orthop 2018; 42: 191-196
    CrossrefPubMedSearch in Google Scholar
  • 4 Nester M, Borrelli J. Distal femur fractures management and evolution in the last century. Int Orthop 2023; 47: 2125-2135
    CrossrefPubMedSearch in Google Scholar
  • 5 Aggarwal S, Rajnish RK, Kumar P. et al. Comparison of outcomes of retrograde intramedullary nailing versus locking plate fixation in distal femur fractures: a systematic review and meta-analysis of 936 patients in 16 studies. J Orthop 2023; 36: 36-48
    CrossrefPubMedSearch in Google Scholar
  • 6 Virkus WW, Kempton LB, Sorkin AT. et al. Intramedullary nailing of periarticular fractures. J Am Acad Orthop Surg 2018; 26: 629-639
    CrossrefPubMedSearch in Google Scholar
  • 7 Heiney JP, Barnett MD, Vrabec GA. et al. Distal femoral fixation: a biomechanical comparison of trigen retrograde intramedullary (i.m.) nail, dynamic condylar screw (DCS), and locking compression plate (LCP) condylar plate. J Trauma 2009; 66: 443-449
    CrossrefPubMedSearch in Google Scholar
  • 8 Cristofolini L, Viceconti M, Cappello A. et al. Mechanical validation of whole bone composite femur models. J Biomech 1996; 29: 525-535
    CrossrefPubMedSearch in Google Scholar
  • 9 Bühren V, Keel M, Marzi I. , Hrsg. Checkliste Traumatologie. Stuttgart: Thieme; 2011
    Search in Google Scholar
  • 10 Alzahrani MM, Aljamaan Y, Alsayigh J. et al. Optimal entry point for antegrade and retrograde femoral intramedullary nails. Chin J Traumatol 2023; 26: 249-255
    CrossrefPubMedSearch in Google Scholar
  • 11 Nino S, Parry JA, Avilucea FR. et al. Retrograde intramedullary nailing of comminuted intra-articular distal femur fractures results in high union rate. Eur J Orthop Surg Traumatol 2022; 32: 1577-1582
    CrossrefPubMedSearch in Google Scholar
  • 12 Papadokostakis G, Papakostidis C, Dimitriou R. et al. The role and efficacy of retrograding nailing for the treatment of diaphyseal and distal femoral fractures: a systematic review of the literature. Injury 2005; 36: 813-822
    CrossrefPubMedSearch in Google Scholar
  • 13 Kubacki MR, Verioti CA, Patel SD. et al. Angle stable nails provide improved healing for a complex fracture model in the femur. Clin Orthop Relat Res 2014; 472: 1300-1309
    CrossrefPubMedSearch in Google Scholar
  • 14 Zderic I, Gueorguiev B, Blauth M. et al. Angular stable locking in a novel intramedullary nail improves construct stability in a distal tibia fracture model. Injury 2022; 53: 878-884
    CrossrefPubMedSearch in Google Scholar
  • 15 Grass R, Biewener A, Herzmann K. et al. OP-Technik und Erfahrungsbericht über den distalen AO-Femurnagel (DFN). OP-Journal 2000; 16: 170-175
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Peez C, Berninger M. Operative Zugänge am Kniegelenk: Distales Femur. In: Engelhardt M, Raschke M. , Hrsg. Orthopädie und Unfallchirurgie. Berlin, Heidelberg: Springer; 2024: 1-8
    CrossrefSearch in Google Scholar
  • 17 Maßen F, Kammerlander C. Frakturen des distalen Femurs. In: Roth A, Fürmetz J, Böcker W. , Hrsg. Referenz Orthopädie und Unfallchirurgie – Knie. Stuttgart: Thieme; 2022.
    Thieme ConnectSearch in Google Scholar
  • 18 Krupp RJ, Malkani AL, Goodin RA. et al. Optimal entry point for retrograde femoral nailing. J Orthop Trauma 2003; 17: 100-105
    CrossrefPubMedSearch in Google Scholar
  • 19 Duan X, Li T, Mohammed AQ. et al. Reamed intramedullary nailing versus unreamed intramedullary nailing for shaft fracture of femur: a systematic literature review. Arch Orthop Trauma Surg 2011; 131: 1445-1452
    CrossrefPubMedSearch in Google Scholar
  • 20 Huang X, Chen Y, Chen B. et al. Reamed versus unreamed intramedullary nailing for the treatment of femoral shaft fractures among adults: a meta-analysis of randomized controlled trials. J Orthop Sci 2022; 27: 850-858
    CrossrefPubMedSearch in Google Scholar
  • 21 Rommens PM, Kuechle R, Hofmann A. Repositionstechniken in der Marknagelosteosynthese. Unfallchirurg 2019; 122: 95-102
    CrossrefPubMedSearch in Google Scholar
  • 22 von Rehlingen-Prinz F, Krause M, Korthaus A. et al. Distale Femurfrakturen. Knie J 2022; 4: 53-62
    CrossrefPubMedSearch in Google Scholar
  • 23 Leggon RE, Feldmann DD. Retrograde femoral nailing: a focus on the knee. Am J Knee Surg 2001; 14: 109-118
    PubMedSearch in Google Scholar
  • 24 Ricci WM, Bellabarba C, Evanoff B. et al. Retrograde versus antegrade nailing of femoral shaft fractures. J Orthop Trauma 2001; 15: 161-169
    CrossrefPubMedSearch in Google Scholar