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Supracondylar/Intracondylar Distal Femoral Fractures

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Fracture Reduction and Fixation Techniques

Abstract

Fractures of the distal femur are regularly encountered in trauma centres and generally fall into a subtype of high-energy injuries in younger patients or frailty fractures in the elderly. In an aging population, frailty fractures are becoming increasingly common, as are peri-prosthetic and inter-prosthetic fractures of the distal femur.

In all but the frailest patients, operative treatment of distal femur fractures is preferred because of the high incidence of stiffness associated with prolonged immobilisation and the occurrence of skin breakdown either in a cast or due to prominent bone spikes. Operative treatment allows earlier mobilisation and improves functional outcomes. In this chapter we will discuss the common fracture configurations and the techniques required for successful reduction and stabilisation.

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Further Reading

  • Gangavalli AK, Nwachuku CO. Management of distal femur fractures in adults: an overview of options. Orthop Clin North Am. 2016;47(1):85–96.

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  • Kim JW, Oh CW, Oh JK, Park IH, Kyung HS, Park KH, Yoon SD, Kim SM. Malalignment after minimally invasive plate osteosynthesis in distal femoral fractures. Injury. 2017;48(3):751–7.

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  • Lampropoulou-Adamidou K, Tosounidis TH, Kanakaris NK, Ekkernkamp A, Wich M, Giannoudis PV. The outcome of Polyax Locked Plating System for fixation distal femoral non-implant related and periprosthetic fractures. Injury. 2015;46(Suppl 5):S18–24.

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  • Lee SH, Kim MB, Sim JA, Han DH. A transpatellar approach to treat distal femoral type C3 fractures combined with patellar fractures. J Knee Surg. 2018;31(9):905–12.

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  • Pettett BJ, Avery MC, Ostrum RF. Retrograde femoral nailing using percutaneous reduction techniques. J Orthop Trauma. 2017;31(Suppl 3):S6–7.

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  • Sanders R, Koval KJ, DiPasquale T, Helfe DL, Frankle M. Retrograde reamed femoral nailing. J Orthop Trauma. 2014;28(Suppl 8):S15–24.

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Chellam, W.B., Giannoudis, P.V. (2020). Supracondylar/Intracondylar Distal Femoral Fractures. In: Giannoudis, P. (eds) Fracture Reduction and Fixation Techniques. Springer, Cham. https://doi.org/10.1007/978-3-030-24608-2_19

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  • DOI: https://doi.org/10.1007/978-3-030-24608-2_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-24607-5

  • Online ISBN: 978-3-030-24608-2

  • eBook Packages: MedicineMedicine (R0)

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