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Distal Femoral Fractures

  • K. S. Leung
Chapter

The distal femoral fractures include supracondylar fractures, intercondylar fractures, and their combinations. As in most articular and juxta-articular fractures, operative treatment gives the best clinical result by achieving anatomical reduction of the articular fractures and providing early skeletal stability, which leads to early mobilization and return of joint function. The commonest method of treating these fractures is open reduction with internal fixation by plating [1–3, 8–10]. The open procedure requires a long incision with extensive dissection, which not infrequently results in devitalization of the fracture fragments. Bone grafting is required in fractures with comminution, which typically happens on the medial side of the distal femur where mechanical stability cannot be restored by lateral plating. This very often leads to delay in weight-bearing walking before the fracture consolidates and also leads to implant failure.

Keywords

Distal Femur Femoral Shaft Screw Hole Supracondylar Fracture Distal Femoral Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Giles JB, Delee JC, Heckman JD, Keever JE (1982) Supracondylar-intercondylar fractures of the femur treated with a supracondylar plate and lag screw. J Bone Joint Surg 64-A:864–810Google Scholar
  2. 2.
    Healy WL, Brooker AF Jr (1983) Distal femoral fractures. Comparison of open and closed methods of treatment. Clin Orthop 174:166–171PubMedGoogle Scholar
  3. 3.
    Johnson KD, Hicken G (1987) Distal femoral fractures. Orthop Clin North Am 18:115–139PubMedGoogle Scholar
  4. 4.
    Laros GS (1979) Supracondylar fractures of the femur: editorial comment and comparative results. Clin Orthop 138:9–12PubMedGoogle Scholar
  5. 5.
    Leung KS (1994) Intramedullary locked nailing for distal femoral fractures. Orthop Traumatol 3:260–266CrossRefGoogle Scholar
  6. 6.
    Leung KS, Shen WY, So WS, Mui LT, Grosse A (1991) Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur. J Bone Joint Surg 73-A:332–340Google Scholar
  7. 7.
    Müller ME, Nazarian S, Koch P, Schatzker J (1990) The comprehensive classification of fractures of long bones. Springer, Berlin Heidelberg New York, pp 140–141CrossRefGoogle Scholar
  8. 8.
    Pritchett JW (1984) Supracondylar fractures of the femur. Clin Orthop 184:173–177PubMedGoogle Scholar
  9. 9.
    Sanders R, Regazzoni P, Ruedi TP (1989) Treatment of supracondylar-intracondylar fractures of the femur using the dynamic condylar screw. J Orthop Trauma 3:214–222PubMedCrossRefGoogle Scholar
  10. 10.
    Schatzker J, Lambert DC (1979) Supracondylar fractures of the femur. Clin Orthop 138:77–83PubMedGoogle Scholar
  11. 11.
    Shelbourne KD, Brueckmann FR (1982) Rush-pin fixation of supracondylar and intercondylar fractures of the femur. J Bone Joint Surg 64-A: 161–169Google Scholar
  12. 12.
    Wu CC, Shih CH (1992) Treatment of femoral supracondylar unstable comminuted fractures: comparisons between plating and Grosse-Kempf interlocking nailing techniques. Arch Orthop Trauma Surg 111:232–236PubMedCrossRefGoogle Scholar
  13. 13.
    Zickel RE, Hobeika P, Robbins DS (1986) Zickel supracondylar nails for fractures of the distal end of the femur. Clin Orthop 212:79–88PubMedGoogle Scholar

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© Springer-Verlag Berlin Heidelberg 2002

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  • K. S. Leung

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