Distal femoral fractures: A review of fixation methods

Forster, M.C.; Komarsamy, B.; Davison, John

doi:10.1016/j.injury.2005.02.015

Cited by 61 publications

(40 citation statements)

References 69 publications

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“…The goals of management of distal femur fractures are correction of axial alignment, length, and rotation, restoration of motion and rapid union so as to return the patient to normal function 5 . 7 . We investigated the feasibility and functional outcome of retrograde nailing of extra-articular (AO 33A1 to A3) fractures of the distal femur using Distal Femoral Nail (DFN).…”

Section: Introductionmentioning

confidence: 99%

Management of Distal Femoral Fracture with Distal Femoral Nail

Jahangir

Hossain

Mojumder

et al. 2018

Chatt Maa Shi Hosp Med Coll J

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Background: For a long time distal femur fracture were considered difficult to heal and often led to a degree of disability. The incidence of malunion, nonunion and infection are relatively high in many reported series. The management goal of distal femur fractures are correction of axial alignment, length, and rotation, restoration of motion and rapid union so as to return the patient to normal function. We present here result of retrograde nailing of extra-articular (AO 33A1 to A3) fractures of the distal femur using Distal Femoral Nail (DFN). Methods: In Between 2008 to 2010 total 17 patients (One lost to follow up so 16 available for final assessment) underwent open reduction and internal fixation for distal femoral fracture in Chittagong Medical College Hospital and Private Hospital in Chittagong city. There were 13 male and 3 female patients, age range from 18 years to 70 years, mean age 42.75 years. Average length of follow-up was 17.5months (12 months to 24 months). Results: Total 16 patients was available for follow up. Regular fracture healing was observed in 14 cases. Delayed union in 2 case. One patient had infection, and two patients had leg shorting of 0.5 and 1 cm. Axial misalignment (Varus/valgus angulations) was found in 4 cases (5º-10º) there were no implant failures. On the bases of a Leung score to measure functional outcome, 4 cases had excellent, 8 cases had good and 4 cases had fair result. Poor results were not seen in any patient. In this series 13 cases were satisfactory and 3 cases were unsatisfactory. Conclusion: Distal Femoral Nail is handsome tool to treat distal femoral fracture.

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Section: Introductionmentioning

confidence: 99%

Management of Distal Femoral Fracture with Distal Femoral Nail

Jahangir

Hossain

Mojumder

et al. 2018

Chatt Maa Shi Hosp Med Coll J

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“…Internal fixation of distal femoral fractures has been acknowledged to be superior over nonoperative treatment, but these fractures are challenging regarding implant and technical decision. [8][9][10] The axial stiffness of the plated constructs is another clinical concern. Hence, delayed union and even nonunion of plated distal femoral fractures have been reported, particularly in cases where there was no medial cortical support.…”

Section: Discussionmentioning

confidence: 99%

“…[6,7] Studies have shown that internal fixation devices provide superior outcome as compared to closed methods allowing early mobilization by providing stability . [8][9][10][11] Among surgical methods, particularly intramedullary (IM) nails have been successful compared to side plates with decreased intraoperative blood loss, operating time, and hospital stay. [12][13][14] Intramedullary nails are specifically suitable to type A fracture patterns.…”

mentioning

confidence: 99%

Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability

Başçı

Karakaşlı

Kumtepe

et al. 2015

Eklem Hastalik Cerrahisi

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“…In the literature, osteopenia and gonarthrosis might complicate their management. Moreover, there's a high rate of open distal femur fractures [8,9] , the treatment of distal femur fractures has long been a arguable topic. Towards 1950-1960 the conservative approach was predominant [10] , AO introduced the mounted angular plate for the treatment of distal femur fractures [11,12] .…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of two different surgical treatments: Distal fermoral fractures

Kumar¹,

Palakurthi²

2018

Int. J. Orthop. Sci.

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Introduction: The treatment of distal fermoral fractures has been a controversial topic and it's recently evolved towards indirect reduction and minimally invasive techniques. Objective: To compare the results of the surgical treatment of distal fermoral fractures with a plate with screws for appendage compression functions with the minimally invasive stabilization. Material and methods:Patients with distal fermoral fractures treated surgically between January 2016 to January 2018 were assessed retrospectively. The subsequent variables were registered from each patient record: age, sex, form of fracture and mechanism of injury, type of implant used, operative time and postoperative bleeding. The Neer scale was accustomed compare the anatomical, radiologic and useful results of each techniques. Results: The total number of patients was 59; thirty three males and twenty six females; mean age was 58 years. A plate with screws was employed in 36 patients for appendage compression purposes, and a minimally invasive stabilization system in 23. The cases managed with a minimally invasive stabilization system had a shorter operative time and less intraoperative bleeding. The results of the analysis victimization the Neer scale were similar for each modalities. Conclusions:The patients with fracture of the distal third of the femur managed with a minimally invasive stabilization system had higher outcomes, that weren't vital within the Neer scale, mainly due to less pain intensity, early mobilization and less functional repercussions.

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Distal femoral fractures: A review of fixation methods

Cited by 61 publications

References 69 publications

Management of Distal Femoral Fracture with Distal Femoral Nail

Management of Distal Femoral Fracture with Distal Femoral Nail

Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability

Comparative analysis of two different surgical treatments: Distal fermoral fractures

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