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Operative time
17%
208/1196
Symptomatic distal interlocking screws
65%
774/1196
Hip pain
4%
43/1196
Union rate
6%
71/1196
Final knee range of motion
8%
91/1196
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Figure A shows a femoral shaft fracture, which can be appropriately treated with an intramedullary nail. The referenced article by Ostrum et al reported that retrograde nailing had an increased rate of symptomatic distal interlocking screws, an increased rate of need for dynamization, longer union time, and less thigh pain than antegrade nailing. Union rate and knee range of motion were not significantly different between these two techniques. Subsequent studies have found that union time does not significantly differ between antegrade and retrograde nailing.
2.8
(46)
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