Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report

Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful outcome.

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Intra-Articular Distal Femur Fracture Extending From an Expanded Femoral Tunnel in an Anterior Cruciate Ligament (ACL) Reconstructed Knee: A Case Report

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0b013e3181469f42 ◽

2009 ◽

Vol 67 (6) ◽

pp. E209-E212 ◽

Cited By ~ 7

Author(s):

Vijay B. Thangamani ◽

David C. Flanigan ◽

Bradley R. Merk

Keyword(s):

Anterior Cruciate Ligament ◽

Case Report ◽

Distal Femur ◽

Femoral Tunnel ◽

Femur Fracture ◽

Cruciate Ligament ◽

Distal Femur Fracture ◽

Anterior Cruciate ◽

Reconstructed Knee

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Primary total knee arthroplasty for a complex distal femur fracture in the elderly: a case report

European Journal of Orthopaedic Surgery & Traumatology ◽

10.1007/s00590-007-0224-2 ◽

2007 ◽

Vol 17 (5) ◽

pp. 491-494 ◽

Cited By ~ 3

Author(s):

Varatharaj Mounasamy ◽

Quanjun Cui ◽

Thomas E. Brown ◽

Khaled J. Saleh ◽

William M. Mihalko

Keyword(s):

Total Knee Arthroplasty ◽

Case Report ◽

Knee Arthroplasty ◽

Distal Femur ◽

Femur Fracture ◽

Primary Total Knee Arthroplasty ◽

The Elderly ◽

Distal Femur Fracture ◽

Total Knee ◽

Primary Total Knee

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Complex Open Distal Femur Fracture Managed By Primary Autogenous Fibular Graft in Conjunction with DFLP- A Case Report

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2015/13740.6745 ◽

2015 ◽

Author(s):

Vishant gawri

Keyword(s):

Case Report ◽

Distal Femur ◽

Femur Fracture ◽

Fibular Graft ◽

Distal Femur Fracture

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Bilateral Periprosthetic Knee Fracture with the Right Floating Total Knee and Left Periprosthetic Patella Fracture Management Strategy: A Case Report

Journal of Orthopaedic Case Reports ◽

10.13107/jocr.2021.v11.i02.2000 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Lavindra Tomar ◽

Gaurav Govil ◽

Pawan Dhawan

Keyword(s):

Case Report ◽

Management Strategy ◽

Knee Injury ◽

Distal Femur ◽

Femur Fracture ◽

Left Knee ◽

Patellar Fracture ◽

Distal Femur Fracture ◽

Total Knee ◽

The Right

Introduction: Periprosthetic fractures (PPFs) in total knee replacement are an uncommon condition. The floating knee injury around total knee arthroplasty (TKA) is even rare and poses challenges in management. Incidence is increasing due to growing primary joint arthroplasties and revision procedures. We report a case of bilateral PPF with a floating total knee. Case Report: A 74-year-old female involved in a violent car accident sustained bilateral knee injuries, facial, and hand injury. In the emergency room, the initial resuscitation and trauma protocol stabilization were done and she was provisionally immobilized for her limb injuries. She presented with the right-sided floating total knee involving periprosthetic periarticular comminuted distal femur fracture and midshaft comminuted fracture tibia fibula. The patient also had left knee lower pole periprosthetic patellar fracture. The patient had a history of bilateral TKA around 2 years back. She underwent surgical management of the right floating total knee by stabilization of distal femur fracture and tibial shaft fracture fixation with locking plates. She underwent primary autologous bone grafting for both fracture sites. The left knee patellar fracture was managed conservatively in a brace. At 8 months follow-up, the patient was pain free and had consolidation of fractures. The patient walked without any walking aids. At 18 months, she had regained her pre-injury functional status. Conclusion: Each fracture in a floating total knee injury is unique and treatment should be decided based on individual analysis and the extent of soft-tissue injuries. An uncommon occurrence highlights the complex injury patterns involving PPF requiring individualized case specific management strategy. Keywords: Floating total knee, Periprosthetic knee fracture, floating knee.

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SURGICAL INCISION TECHNIQUE APPROACH ON DISTAL FEMUR FRACTURE A LITERATURE REVIEW

Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran ◽

10.26618/aimj.v4i1.4903 ◽

2021 ◽

Vol 4 (1) ◽

pp. 31-39

Author(s):

Rudiansyah Harahap

Keyword(s):

Literature Review ◽

Distal Femur ◽

Femur Fracture ◽

Femoral Fractures ◽

Incidence Rates ◽

Surgical Incision ◽

Distal Femur Fracture ◽

Femur Fractures ◽

The Mean ◽

Incision Technique

Distal Femur fractures are rare, with the literature reporting a prevalence of 0.5% of all fractures1. Incidence rates of distal femur fractures have only been reported in a small number of studies2,3. Fractures of the distal femur is described as a classic fragility fracture, with the mean age of patients reported as 67.3 years and the vast majority of fractures (83%) occurring in women1,4.A study shows an incidence of distal femur fractures is 8.7/100,000/year. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed for both genderswith a considerable female predominance5. Nowdays, the surgical management of distal femur fracture is evolving. This review will discuss about the incision approach on distal femur approaches.

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