{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:30:42Z","timestamp":1791271842613,"version":"4.1.0"},"reference-count":21,"publisher":"SLACK, Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:p>This retrospective study evaluated the long-term clinical, functional, and radiographic outcomes of traditional open reduction internal fixation (ORIF) versus limited open reduction with retrograde intramedullary nailing for supracondylar-intercondylar distal femur fractures (Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen [AO] 33-C type). Twenty-three fractures were followed in 22 patients for a mean follow-up of 80 months. The rate of subsequent bone-grafting procedures (67% vs 9%) and malunion (42% vs 0%) were significantly higher in ORIF compared to the less invasive retrograde intramedullary nailing treatment. A nonsignificant trend was noted for increased infection (25% vs 0%) and nonunion (33% vs 9%) in the ORIF group. The physical function component of the SF-36 was approximately 2 standard deviations below the US population mean, and 50% of patients demonstrated radiographic changes of posttraumatic arthritis. No patient has had a subsequent total knee arthroplasty.<\/jats:p>","DOI":"10.3928\/01477447-20080801-33","type":"journal-article","created":{"date-parts":[[2009,3,16]],"date-time":"2009-03-16T14:24:23Z","timestamp":1237213463000},"page":"748-750","source":"Crossref","is-referenced-by-count":63,"title":["Long-term Functional Outcomes After Intra-articular Distal Femur Fractures: ORIF Versus Retrograde Intramedullary Nailing"],"prefix":"10.3928","volume":"31","author":[{"given":"A. 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