Fracture of Distal 3rd of Femur Operated with using Rush-pin (Eiffel Tower Fixation)

  • Shiv Pal Singh Junior Specialist (Orthopaedic), S.K. Hospital, Sikar (Raj.)
Keywords: Fracture distal third femur : Rush-Pin

Abstract

Background: The goal of this study is to determine functional outcome of Rush-pin fixation for fracture distal third of femur. Methods: 30 Patients of fracture of distal third of femur treated with Rush-pin fixation. Majority of patient belong to 21-40 yr age group (range 8-74 yr.). Out of 30 patient 22 were male and 8 were female. 70% got their injury in road traffic accident.

According to Donald classification based on radio-analysis out of 30 patients, 11 were type I, 13 were type II, 6 were type III, 5 were type IV & 5 were type V. All fracture fixed with Rush-Pin, intercondylar fracture fixed with cancellous screw.

Results: Majority of patients start full weight bearing at 4 to 5 months. Bursa formation

at ends of pin formed in one case. Non-union, delayed union were not found. Flexion more than 100° achieved in 76.6% cases. Two patient had restricted knee movement. 56.6% patients had excellent result, 26.6% had satisfactory result & 6.6% were failure.

Conclusions: Patient having transverse fracture of distal third of femur (Donald type II) had better result with rush pin fixation (Eiffel tower fixation) as compared to comminuted fracture or spiral or fracture with intercondylar extension.

Downloads

Download data is not yet available.

References

1. Arsen M. Pankovich : Ajunctive fixation in flexible intramedullary nailing of femoral fractures. Clin Orthop. 157; 1981; 301-309
2. Bungara P, Ruggieri P, Pavone S, Vendemia. ; The " Tower Eiffil" double Rush nail in the treatment of fractures of the lower limb; Chir organi mov. 1993. Jan-Mar; 78(1) 25-29.
3. Carey TP, Galpin R.D.: Flexible intramedullary nail fixation of pediatric femoral fractures. Clin Orthop 1996 Nov; (332) 110-118.
4. D'Imporzano M, Biggi F, Petrachi BV : Static-Dynamic intramedullary nailing (SDIN) in diaphyseal and metaphyseal lower limb fractures. Ital J Orthop Traumatol 1992 ; 18(2) 189-197
5. Daniel borgin and B.L. Spragve : Treatment of distal femoral fractures with early weight-bearing. Clin Orthop. 111; Sept. 1972 : 156-162
6. Flemming Holst - Nielsen : Dynamic intramedullary osteosynthesis in fractures of femoral shaft. Acta Orthop. Scandinav 43 ; 411-420, 1972.
7. Hows TS. : Double level fractures of femur treated with close intramedullary nailing. Ann Acad Med Singapore Mar. 27(2) 188-191.
8. K. Donald Shelbourne, F. robert Bruekmann : Rush-pin fixation of supracondylar and intercondylar fractures of the femur. J. Bone Joint Surg. 64 A Feb ; 1982 ; 161-169.
9. Knittel G, Romer KH. : Experiences with the intramedullary open Rush-pin fixation of femur shaft fractures in children. Z Kinderchir 1984 Feb ; 39 (1) ; 59-64.
10. Kumar A, Jasani V, Butt MS. : Management of distal femoral fractures in elderly patients using retrograde titanium supracondylar nails. Injury 2000 Apr ; 31 (3) ; 169-173.
11. Zinghi GF, Lanfranchi R, : Osteosynthesis with Rush's double nail by the "Eiffel Tower" method in pseudoarthrosis impacted in good position and retarted union. Ital J Orthop, Traumatol 1980, Apr : 6(1), 85-95.
12. Ritter MA, Keating EM, Faris PM, Meding JB : Rush Rod fixation of supracondylar fractures above total Knee arthroplasties. J Arthroplasty 1995 Apr., 10 (2) : 213-216.
Published
2018-09-30
How to Cite
1.
Singh S. Fracture of Distal 3rd of Femur Operated with using Rush-pin (Eiffel Tower Fixation). IABCR [Internet]. 30Sep.2018 [cited 15Dec.2018];4(3):88-9. Available from: https://iabcr.org/index.php/iabcr/article/view/413