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Fractures of the Distal Femur

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Knee Surgery

Abstract

Fractures of the distal third of the femur have traditionally been and continue to be very challenging injuries for the orthopedic surgeon. Motor vehicle accidents and escalating urban violence contribute to an increasingly difficult fracture population. Due to the violent nature of these injuries, the selection of appropriate treatment may pose a significant challenge to the orthopedist. One needs to be aware of not only the fracture pattern and the best way to “put the puzzle back together,” but also of the extent of soft tissue injury, contamination, and neurovascular complications. Each method of treatment for these injuries is associated with many potential complications. Early complications, such as infection, loss of reduction, compartment syndrome, and medically related problems, need to be immediately recognized and treated to prevent a poor outcome. Late complications, such as delayed union, nonunion, hardware failure, malunion, leg length discrepancy, stiffness, and degenerative joint disease, can be lessened or prevented with adequate preoperative evaluation, planning, and a thorough knowledge of the most up-to-date treatment methodology.

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Authors
  1. Robert E. Leggon
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  2. Daniel D. Feldmann
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  3. Ronald W. Lindsey
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Editors and Affiliations

  1. Tyson’s Professional Building, Washington Orthopaedic and Knee Clinic, Inc., 8206 Lessburg Pike, #201, 22182, Vienna, VA, USA

    M. Mike Malek M.D.

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Leggon, R.E., Feldmann, D.D., Lindsey, R.W. (2001). Fractures of the Distal Femur. In: Malek, M.M. (eds) Knee Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87202-0_19

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  • DOI: https://doi.org/10.1007/978-3-642-87202-0_19

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