Uso del clavo intramedular acerrojado retrógrado en fémur

the aim of present study was to assess in a retrospective way the femur fractures using a retrograde bolted intramedullary nailing. all fractures were of traumatic type (10) one was pathological. fractures included one of femur, one of the ipsilateral tibia (floating knee), a femoral neck fracture, and other of ipsilateral type in the middle third of femur, remainder were transversal or oblique fractures of middle third or distal. there was not complication during surgery. nailing insertion was easy, fast, and with an immediate and good placement. there was a male sex predominance (80 %), and mean age was of 34. 7 years (rank between 19 and 48 years). in all cases the rehabilitation was started at the following day with isometric and isotonic exercises performed in the hospital ward. one patient suffered a proximal femoral fracture at third postoperative day, requiring a reintervention and the placement of a larger nail across the same approach route. this is a not much invasive method requiring the use of images intensification. surgical and stay times is reduced and recovery is fast and satisfactory.