[Comparison of two different operations on comminuted intercondylar fracture].
OBJECTIVE
To compare the effect of two different operations on treating severely comminuted intercondylar fracture.


METHODS
From December 2001 to October 2003, 20 cases of severely comminuted intercondylar fracture were operated. Of the 20 cases, 7 (group 1) were treated with closed reduction and retrograde intramedullary nailing through arthroscope, 13 (group 2) were treated with open reduction and retrograde intramedullary nailing without arthroscope. Follow-ups were conducted after operation.


RESULTS
All cases of fracture were recovered. Swelling in group 1 was alleviated more obviously than that in group 2. In group 1, all knees could flex to 120 degrees during 6th to 9th weeks after the operation. In group 2, only 4 could flex 110 degrees.


CONCLUSIONS
Retrograde intramedullary nailing through arthroscope proves to be less invasive and more effective in treating heavily comminuted intercondylar fracture.
Jiang
Junwei
J
Department of Orthopaedics, People's Hospital of Leshan, Leshan Sichuan 614000, PR China.
Wang
Hongchuan
H
D000328:Adult; D001182:Arthroscopy; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult