71 years old malay lady, alleged fall at home due to slippery floor. She is a known case of diabetic mellitus and hypertension.
She sustained closed supracondylar fracture of right femur. Tha xray show spiral type of fracture extending from supracondylar area till midshaft femur. Luckly there was no intercondylar split.
Usually in my center, a long distal femoral locking plate will be choose for this kind of injury. This time I use retrograde nail (DFN synthese). In additional to that, I put circlage wire to prevent opening up in fracture gap.
Please kindly comment the xray below...
Post fixation xray:
