However, with the discovery of skeletal radiology near the end of the 19th century came an understanding of the forces acting on fractured bones and a change in the treatment of such injuries. These are serious injuries having the potential to produce significant longterm disabilities. Distal femur fractures represents about 7% of all femur fractures in adults, and are notoriously difficult to treat. Download as pptx, pdf, txt or read online from scribd. Introduction fractures of the distal end of femur especially comminuted, intraarticular extension ao type 33c3 remain some of the most challenging fractures facing orthopaedic surgeons. Unicondylar fractures of the distal femur emconsulte. Posted on june 8, 2015 june 19, 2015 by rachael turner. This procedure is the fixation of the thighbone femur using a nail, plate, rod and screws. Distal femoral fractures that are purely diaphyseal are discussed in chapter 52. Doctor answers on symptoms, diagnosis, treatment, and more. Treatment of distal femur fracture by less invasive. Sometimes these fractures are less obvious, requiring advanced imaging.
A femur fracture is typically sustained from highenergy impact such as motor vehicle collisions, falls from playground equipment, falls from furniture or resulting from a twisting mechanism. Pathophysiology of fractured femur things you didnt know. Elders get these fractures commonly and may have the affected leg shorter than the other andor rotated. Distal femur, lcp, pritchet rating system, fracture 1. The operation through a lateral parapatellar incision and a transarticular retrograde plate of osteosynthesis tarpo was performed on 17 patients for type 33c2 and 33c3 fracture of the distal femur. Intramedullary nailing for femur fracture management. Steinmann in 1907 and kirschner in 1909 developed the first.
Before the 1900s, diaphyseal femur fractures were treated with various types of splinting. Risks of a fractured femur there are risks and complications with this procedure. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. Emc elsevier masson sas, paris, appareil locomoteur, 14080a10. Il sagit volontiers dune fracture en coxa vara fermant langle cervicodiaphysaire. Rightleft % 5149 compound fracture % 17 multiple fractures % 44 knee osteoarthritis % 5 type of trauma % from standing height 42 fall from. Fracture haute energie diaphyse femorale osteosynthese. We were lucky in that our sons spica cast had a slight curve to it. As you can imagine, it was a challenge to keep him occupied all day. Exclusion criteria were pathological fracture, periprosthetic fracture of the knee, child younger than 15 years and 3 months, and epiphyseal separation. The locking head screw lhs insertion through the stab incisions and monocortical fixation was performed on 9 patients for type 33a3 fracture.
Bone the supracondylar metaphyseal area of the distal portion of the femur is the transition zone between the distal diaphysis and the femoral articular condyles fig. Materials and methods the study included 4 femoral and 8 tibial segmental fractures during 20022012 period in dogs which were stabilized with static intramedullary interlocking nailing. Infection can occur, requiring antibiotics and further treatment. Reduction techniques for diaphyseal femur fractures.
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