scholarly journals SURGICAL INCISION TECHNIQUE APPROACH ON DISTAL FEMUR FRACTURE A LITERATURE REVIEW

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.           

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

2021 ◽  
pp. 131-137
Author(s):  
Santanu Kar ◽  
Hemant Bansal ◽  
Vijay Sharma ◽  
Kamran Farooque
Keyword(s):  
Case Report ◽  
Distal Femur ◽  
Femur Fracture ◽  
Femoral Fractures ◽  
Quadriceps Tendon ◽  
Successful Outcome ◽  
Postoperative Rehabilitation ◽  
Present Case Report ◽  
Distal Femur Fracture ◽  
Rare Association

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.

scholarly journals Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Anthony Gemayel ◽  
Matthew J. Yousif ◽  
William Padget ◽  
Joseph Finch
Keyword(s):  
Acl Reconstruction ◽  
Distal Femur ◽  
Femur Fracture ◽  
Primary Total Knee Arthroplasty ◽  
Femoral Fractures ◽  
Femur Fractures ◽  
History Of ◽  
Total Knee ◽  
Primary Total Knee ◽  
Distal Femoral Replacement

Periprosthetic distal femur fractures can be treated nonoperatively, with open reduction and internal fixation or with more constrained prostheses. Distal femoral replacement is typically a last resort treatment option for comminuted periprosthetic or osteoporotic distal femoral fractures in patients with poor bone stock or resistant nonunions. We report the case of a 54-year-old female with a remote history of bone mulch ACL reconstruction who sustained an intraoperative comminuted bicondylar distal femur fracture during a primary total knee arthroplasty. This patient was treated with a distal femoral replacement and successfully returned to her preoperative function.

scholarly journals Management of distal femur fractures with locking compression plate: a prospective study

2018 ◽  
Vol 4 (2) ◽  
pp. 208
Author(s):  
Sridhar Reddy Konuganti ◽  
Sreenath Rao Jakinapally ◽  
Vennamaneni Pratish Rao ◽  
Sivaprasad Rapur
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Functional Score ◽  
Non Union ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Compression Plate ◽  
The Mean

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Distal femur fractures need to be treated operatively to achieve optimal outcomes. Different types of internal fixation devices have been used but, the number of revisions for non-union, loss of reduction and implant failure has been high.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study reviewed 20 cases of distal femoral fractures surgically managed with distal femoral locking compression plate between December 2013 and December 2015 at Mediciti Institute of medical sciences, Ghanpur, Medchal, tertiary care referral and trauma centre. Fractures were categorized according to OTA classification by Muller</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Highest number of patients was in their 3rd decade (25%) 18 out of 20 patients had closed injury. Type A2 Muller’s fracture was the most common fracture type 7 out of 20 patients (35%).The mean follow up period in this study was 8 months. The average range of knee flexion achieved was about 109°. The mean score 81.75 points were rated using Neer’s functional score (Max 100). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The locking compression plate is the treatment of choice in the management of comminuted distal femoral fractures especially Type A fractures where we have found higher Neer scores. It may not completely solve the age-old problems associated with any fracture like non-union and malunion, but is valuable in the management of these fractures.</span></p><p class="Default"> </p>

scholarly journals PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF DISTAL FEMUR FRACTURE TREATED WITH MINIMAL INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS (MIPPO)

2021 ◽  
Vol 5 (8) ◽  
Author(s):  
Shreekant Meena ◽  
Sanjay Yadav ◽  
M K Yadav ◽  
Suresh Bishnoi
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Distal Femur ◽  
Femur Fracture ◽  
Plate Osteosynthesis ◽  
Minimal Invasive ◽  
Fair Result ◽  
Distal Femur Fracture ◽  
Medical College ◽  
Femur Fractures

Background: Study of functional outcome of distal femur fractures treated with minimal invasive percutaneous plate osteosynthesis (MIPPO) Methods: Hospital based Prospective intervantional study conducted on 30 Patients in the department of Orthopedics in hospitals attached to S.M.S Medical College and hospital. Results: In our study, 43.33% patients had excellent scoring and 26.67% patients had good results and 30.00% patients had fair result Conclusion: We concluded that three fourth patients functional outcome was excellent/ good. Keywords: Functional outcome, MI-PPO, Femur

scholarly journals Outcome of locking compression plate fixation in the management of distal end femur fractures: one year hospital based study

2021 ◽  
Vol 7 (3) ◽  
pp. 597
Author(s):  
Vishal Singh ◽  
Avinash Gundavarapu ◽  
Tejas Patel ◽  
Alokeshwar Sharma
Keyword(s):  
Distal Femur ◽  
Femur Fracture ◽  
Plate Fixation ◽  
Early Mobilization ◽  
Locking Compression Plate ◽  
Prospective Clinical Study ◽  
Distal Femur Fracture ◽  
Excellent Outcome ◽  
Femur Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background: </strong>Distal femur fractures make up 6 to 7% of all femur fractures. Various plating options for distal femur fracture are conventional buttress plates, fixed-angle devices, and locking plates. This study was planned to evaluate and explore locking compression plate fixation in distal end femur fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.</p><p class="abstract"><strong>Methods: </strong>The study was conducted as prospective clinical study in 20 skeletally mature patients with x-ray evidence of distal femur fracture fulfilling inclusion and exclusion criteria, operated with distal femur LCP plating. Patients were assessed radiologically and classified according to distal femur fracture classification and outcome graded as excellent, good, fair and poor based on Lysholm Knee Score.</p><p class="abstract"><strong>Results: </strong>Out of 15 excellent outcome cases, 3 cases were type A1 fracture, 1 case had type A3, 2 cases had type B1 and B2 each, 5 cases had type C2 and 2 cases had type C3 fracture. 1 case with good outcome was type C3. 1 case with fair outcome was type B2. While 3 cases with poor outcome were type A1, A2 and C3.</p><p class="abstract"><strong>Conclusions:</strong> The DF-LCP is an ideal implant to use for fractures of the distal femur. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A and C, osteoporotic and periprosthetic fractures.</p>

Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review

2021 ◽  
Author(s):  
Graham J. DeKeyser ◽  
Anne J. Hakim ◽  
Dillon C. O’Neill ◽  
Carsten W. Schlickewei ◽  
Lucas S. Marchand ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Distal Femur ◽  
Femur Fractures ◽  
Dual Plating

Geriatric distal femur fracture: Are we underestimating the rate of local and systemic complications?

Injury ◽  
2016 ◽  
Vol 47 (8) ◽  
pp. 1732-1736 ◽  
Author(s):  
Gele B. Moloney ◽  
Tiffany Pan ◽  
Carola F. Van Eck ◽  
Devan Patel ◽  
Ivan Tarkin
Keyword(s):  
Distal Femur ◽  
Femur Fracture ◽  
Systemic Complications ◽  
Distal Femur Fracture ◽  
Local And Systemic Complications

Dynamization of locked plating on distal femur fracture

2011 ◽  
Vol 131 (10) ◽  
pp. 1331-1332 ◽  
Author(s):  
Tarun Goyal ◽  
Hira L. Nag ◽  
Sujit K. Tripathy
Keyword(s):  
Distal Femur ◽  
Femur Fracture ◽  
Locked Plating ◽  
Distal Femur Fracture

scholarly journals P16 An audit of elderly patients with a femoral fracture: is the quality of care received by patients affected by where in the femur the fracture occurs?

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
O A Javed ◽  
M J Khan ◽  
Y Abbas ◽  
S Pillai ◽  
K Hristova ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Elderly Patients ◽  
Bone Health ◽  
Nutritional Assessment ◽  
Femur Fracture ◽  
Femoral Fractures ◽  
Neck Of Femur ◽  
Femur Fractures ◽  
Neck Of Femur Fracture ◽  
Health Review

Abstract Introduction Elderly patients with femoral fractures are often frail and require a multidisciplinary approach to optimise medical care, rehabilitation and prevention of further injury. Previously, neck of femur fracture patients were the focus of such an approach, but NICE and BOAST guidelines emphasise extending this care to other elderly trauma patients. Methods A retrospective analysis of 43 patients over 60 years old at Gloucestershire Hospitals NHS Foundation Trust in 2019 with a femoral fracture other than a neck of femur fracture. BOAST guideline standards were surgery within 36 hours, orthogeriatric assessment within 72 hours, a documented ceiling of treatment, falls risk assessment, bone health review, nutritional assessment and physiotherapy review. Results Our study showed worse outcomes in all standards for patients with femoral shaft, distal femur and periprosthetic femur fractures compared to neck of femur fractures: surgery within 36 hours (63.9% vs. 66%); orthogeriatric assessment within 72 hours (32.6% vs. 91.9%); falls risk assessment (76.7% vs. 99.6%); bone health review (41.9% vs. 99.7%); nutritional assessment (55.8% vs. 99.6%); physiotherapy review (97.7% vs. 98.9%). The group also had worse outcomes for average length of stay (19 days vs. 14 days) and 30 day mortality (9.3% vs. 8.6%). Discussion Our study showed a discrepancy in care received by elderly patients with femoral fractures other than neck of femur. We will introduce a proforma for all femoral fractures, present our findings to orthogeriatric, bone health and physiotherapy teams to involve them in the care of such patients and re-audit following these recommendations.

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