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Distal Femur Fractures

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Orthopedic Traumatology

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Abstract

AC is a 71-year-old male who presents to the emergency department with a chief complaint of right knee pain after falling down a flight of stairs. There are no other injuries, no loss of consciousness, and his GCS is 15. On primary survey, the exam is consistent with an injury about the right knee, the airway is patent, and he is hemodynamically stable. The secondary survey provides no additional findings.

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References

  1. Nork SE, Segina DN, Aflatoon K, et al. The association between supracondylar-intercondylar distal femoral fractures and coronal plane fractures. J Bone Joint Surg Am. 2005;87:564–9.

    Article  PubMed  Google Scholar 

  2. Baker BJ, Escobedo EM, Nork SE, et al. Hoffa fracture: a common association with high-energy supracondylar fractures of the distal femur. AJR Am J Roentgenol. 2002;178:994.

    PubMed  Google Scholar 

  3. Mutty CE, Jensen EJ, Manka Jr MA, et al. Femoral nerve block for diaphyseal and distal femoral fractures in the emergency department. J Bone Joint Surg Am. 2007;89:2599–603.

    Article  PubMed  Google Scholar 

  4. Neer II CS, Grantham SA, Shelton ML. Supracondylar fracture of the adult femur. A study of one hundred and ten cases. J Bone Joint Surg Am. 1967;49:591–613.

    PubMed  Google Scholar 

  5. Stewart MJ, Wallace SJ. Fractures of the distal third of the femur: a comparison of methods of treatment. J Bone Joint Surg Am. 1966;48:807.

    Google Scholar 

  6. Healy WL, Brooker AF Jr. Distal femoral fractures. Comparison of open and closed methods of treatment. Clin Orthop Relat Res. 1983;174:166–71.

    Google Scholar 

  7. Schatzker J, Waddell J. The Toronto experience with supracondylar fracture of the femur 1966–1972. Injury. 1975;6:113–28.

    Article  Google Scholar 

  8. Butt MS, Krikler SJ, Ali MS. Displaced fractures of the distal femur in elderly patients. Operative versus non-operative treatment. J Bone Joint Surg Br. 1996;78:110–4.

    PubMed  CAS  Google Scholar 

  9. Moore TJ, Watson T, Green SA, et al. Complications of surgically treated supracondylar fractures of the femur. J Trauma. 1987;27:402–6.

    Article  PubMed  CAS  Google Scholar 

  10. Ostrum RF, Geel C. Indirect reduction and internal fixation of supracondylar femur fractures without bone graft. J Orthop Trauma. 1995;9:278–84.

    Article  PubMed  CAS  Google Scholar 

  11. Bolhofner BR, Carmen B, Clifford P. The results of open reduction and internal fixation of distal femur fractures using a biologic (indirect) reduction technique. J Orthop Trauma. 1996;10:372–7.

    Article  PubMed  CAS  Google Scholar 

  12. Henderson CE, Kuhl LL, Fitzpatrick DC, et al. Locking plates for distal femur fractures: is there a problem with fracture healing? J Orthop Trauma. 2011;25 Suppl 1:S8–14.

    Article  PubMed  Google Scholar 

  13. Kolb W, Guhlmann H, Windisch C, et al. Fixation of distal femoral fractures with the less invasive stabilization system: a minimally invasive treatment with locked fixed-angle screws. J Trauma. 2008;65:1425–34.

    Article  PubMed  Google Scholar 

  14. Kregor PJ, Stannard JA, Zlowodzki M, et al. Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. J Orthop Trauma. 2004;18:509–20.

    Article  PubMed  Google Scholar 

  15. Schutz M, Muller M, Regazzoni P, et al. Use of the less invasive stabilization system (LISS) in patients with distal femoral (AO33) fractures: a prospective multicenter study. Arch Orthop Trauma Surg. 2005;125:102–8.

    Article  PubMed  Google Scholar 

  16. Syed AA, Agarwal M, Giannoudis PV, et al. Distal femoral fractures: long-term outcome following stabilisation with the LISS. Injury. 2004;35:599–607.

    Article  PubMed  CAS  Google Scholar 

  17. Parekh AA, Smith WR, Silva S, et al. Treatment of distal femur and proximal tibia fractures with external fixation followed by planned conversion to internal fixation. J Trauma. 2008;64:736–9.

    Article  PubMed  Google Scholar 

  18. Hutson Jr JJ, Zych GA. Treatment of comminuted intraarticular distal femur fractures with limited internal and external tensioned wire fixation. J Orthop Trauma. 2000;14:405–13.

    Article  PubMed  Google Scholar 

  19. Marsh JL, Jansen H, Yoong HK, et al. Supracondylar fractures of the femur treated by external fixation. J Orthop Trauma. 1997;11:405–10; discussion 411.

    Google Scholar 

  20. Ali F, Saleh M. Treatment of isolated complex distal femoral fractures by external fixation. Injury. 2000;31:139–46.

    Article  PubMed  CAS  Google Scholar 

  21. Ricci WM, Bellabarba C, Evanoff B, et al. Retrograde versus antegrade nailing of femoral shaft fractures. J Orthop Trauma. 2001;15:161–9.

    Article  PubMed  CAS  Google Scholar 

  22. Salem KH, Maier D, Keppler P, et al. Limb malalignment and functional outcome after antegrade versus retrograde intramedullary nailing in distal femoral fractures. J Trauma. 2006;61:375–81.

    Article  PubMed  Google Scholar 

  23. Ricci WM, Bellabarba C, Lewis R, et al. Angular malalignment after intramedullary nailing of femoral shaft fractures. J Orthop Trauma. 2001;15:90–5.

    Article  PubMed  CAS  Google Scholar 

  24. Leung KS, Shen WY, So WS, et al. Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur. J Bone Joint Surg Am. 1991;73:332–40.

    PubMed  CAS  Google Scholar 

  25. Seifert J, Stengel D, Matthes G, et al. Retrograde fixation of distal femoral fractures: results using a new nail system. J Orthop Trauma. 2003;17:488–95.

    Article  PubMed  Google Scholar 

  26. Papadokostakis G, Papakostidis C, Dimitriou R, et al. The role and efficacy of retrograding nailing for the treatment of diaphyseal and distal femoral fractures: a systematic review of the literature. Injury. 2005;36:813–22.

    Article  PubMed  CAS  Google Scholar 

  27. Leggon RE, Feldmann DD. Retrograde femoral nailing: a focus on the knee. Am J Knee Surg. 2001;14:109–18.

    PubMed  CAS  Google Scholar 

  28. Ostrum RF, Maurer JP. Distal third femur fractures treated with retrograde femoral nailing and blocking screws. J Orthop Trauma. 2009;23:681–4.

    Article  PubMed  Google Scholar 

  29. Tejwani NC, Park S, Iesaka K, et al. The effect of locked distal screws in retrograde nailing of osteoporotic distal femur fractures: a laboratory study using cadaver femurs. J Orthop Trauma. 2005;19:380–3.

    Article  PubMed  Google Scholar 

  30. Antekeier SB, Burden Jr RL, Voor MJ, et al. Mechanical study of the safe distance between distal femoral fracture site and distal locking screws in antegrade intramedullary nailing. J Orthop Trauma. 2005;19:693–7.

    Article  PubMed  Google Scholar 

  31. Markmiller M, Konrad G, Sudkamp N. Femur-LISS and distal femoral nail for fixation of distal femoral fractures: are there differences in outcome and complications? Clin Orthop Relat Res. 2004:252–7.

    Google Scholar 

  32. Bell KM, Johnstone AJ, Court-Brown CM, et al. Primary knee arthroplasty for distal femoral fractures in elderly patients. J Bone Joint Surg Br. 1992;74:400–2.

    PubMed  CAS  Google Scholar 

  33. Freedman EL, Hak DJ, Johnson EE, et al. Total knee replacement including a modular distal femoral component in elderly patients with acute fracture or nonunion. J Orthop Trauma. 1995;9:231–7.

    Article  PubMed  CAS  Google Scholar 

  34. Pettine KA. Supracondylar fractures of the femur: long-term follow-up of closed versus nonrigid internal fixation. Contemp Orthop. 1990;21:253–61.

    PubMed  CAS  Google Scholar 

  35. Zehntner MK, Marchesi DG, Burch H, et al. Alignment of supracondylar/intercondylar fractures of the femur after internal fixation by AO/ASIF technique. J Orthop Trauma. 1992;6:318–26.

    Article  PubMed  CAS  Google Scholar 

  36. Thomson AB, Driver R, Kregor PJ, et al. Long-term functional outcomes after intra-articular distal femur fractures: ORIF versus retrograde intramedullary nailing. Orthopedics. 2008;31:748–50.

    Article  PubMed  Google Scholar 

  37. Rademakers MV, Kerkhoffs GM, Sierevelt IN, et al. Intra-articular fractures of the distal femur: a long-term follow-up study of surgically treated patients. J Orthop Trauma. 2004;18:213–9.

    Article  PubMed  Google Scholar 

  38. Streubel PN, Ricci WM, Wong A, et al. Mortality after distal femur fractures in elderly patients. Clin Orthop Relat Res. 2010;469(4):1188–96.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery and Rehabilitation, Vanderbilt Medical Center, Suite 4200, South tower Medical Center East – 1215 21st Avenue South, Nashville, TN, 37232, USA

    A. Alex Jahangir M.D.

  2. Department of Orthopedic Surgery, Barnes-Jewish Hospital, 660 S. Euclid Avenue, 8233, St. Louis, MO, 63110, USA

    William M. Ricci M.D.

Authors
  1. A. Alex Jahangir M.D.
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  2. William M. Ricci M.D.
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Editor information

Editors and Affiliations

  1. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    Manish K. Sethi

  2. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    A. Alex Jahangir

  3. Vanderbilt University School of Medicine, Division of Orthopedic Trauma, Vanderbilt University Medical Center, MCE-South Tower Suite 4200, Nashville, 37232, Tennessee, USA

    William T. Obremskey

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Jahangir, A.A., Ricci, W.M. (2013). Distal Femur Fractures. In: Sethi, M., Jahangir, A., Obremskey, W. (eds) Orthopedic Traumatology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3511-2_17

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  • DOI: https://doi.org/10.1007/978-1-4614-3511-2_17

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  • Publisher Name: Springer, New York, NY

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  • Online ISBN: 978-1-4614-3511-2

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