The epidemiology of fractures of the distal femur

Martinet, Olivier; Cordey, J.; Harder, Yves; Maier, Anna-Karina B.; Bühler, M.; Barraud, G E

doi:10.1016/s0020-1383(00)80034-0

Cited by 300 publications

(240 citation statements)

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“…Fractures of the distal femur occur most frequently either as high-energy injuries in young men or low-energy fractures in elderly women [33]. In elderly patients, distal femur fractures are the second most frequent fragility fractures of the femur following those of the hip [1,35,36], and these patients are at elevated risk for complications, given the high prevalence of medical comorbidities [8,12,36].…”

Section: Introductionmentioning

confidence: 99%

Mortality After Distal Femur Fractures in Elderly Patients

Streubel

Ricci

Wong

et al. 2011

Clinical Orthopaedics &Amp; Related Research

245

163

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Background Hip fractures in the elderly are associated with high 1-year mortality rates, but whether patients with other lower extremity fractures are exposed to a similar mortality risk is not clear. Questions/purposes We evaluated the mortality of elderly patients after distal femur fractures; determined predictors for mortality; analyzed the effect of surgical delay; and compared survivorship of elderly patients with distal femur fractures with subjects in a matched hip fracture group. Patients and Methods We included 92 consecutive patients older than 60 years with low-energy supracondylar femur fractures treated between 1999 and 2009. Patient, fracture, and treatment characteristics were extracted from operative records, charts, and radiographs. Data regarding mortality were obtained from the Social Security Death Index. Results Age-adjusted Charlson Comorbidity Index and a previous TKA were independent predictors for decreased survival. Congestive heart failure, dementia, renal disease,

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Section: Introductionmentioning

confidence: 99%

Mortality After Distal Femur Fractures in Elderly Patients

Streubel

Ricci

Wong

et al. 2011

Clinical Orthopaedics &Amp; Related Research

245

163

View full text Add to dashboard Cite

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“…введение повреждения бедренной кости составля-ют 15-45% в общей структуре переломов [1]. Однако переломы дистального отдела бедрен-ной кости встречаются относительно редко -их частота варьирует от 0,4 до 7% от всех пе-реломов бедренной кости [2][3][4][5][6]. по данным B.D.…”

Section: Discussionunclassified

Experimental and Theoretical Validation of Double Column Internal Fixation Theory for Distal Femoral Fractures

Беленький¹,

Sergeev²,

Майоров³

et al. 2017

Traumatology and Orthopedics of Russia

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Purpose of the study – to experimentally compare efficiency of lateral and bilateral (lateral and medial) plate fixation of distal femoral fractures and to validate the appropriateness of double column theory of distal femur anatomy for internal fixation for these fractures.Material and methods. The authors performed a biomechanical study in two series on polyurethane models of right femur corresponding in dimensions to natural femur. After simulating a 33 C2 fracture type it was fixed by one lateral plate or two (lateral and medial) plates. After fixation the models were tested in six load ranges with maximal load from 20 to 120 kgf in cyclic mode.Results. The authors obtained a significant difference in absolute values of fragments displacement amplitude depending on fixation method. In the first series of the experiment – one plate fixed on the lateral surface of the femur – under minimal load the displacement value was reported as0.3 mm and under maximal load —1.9 mm; in the second series of experiment – two plates fixed on the lateral and medial surfaces of the femur – displacement values were reported as0.35 mm and0.95 mm respectively. Conclusion. The presence or absence of medial support after internal fixation has a profound impact on ensuring stability in cases of comminuted fractures of distal femoral fractures. In this context the use of double column theory of distal femur anatomy for internal fixation can significantly improve the treatment outcomes for such patients. After trials of minimally invasive fixation method on anatomical specimen the described theory can be implemented into the clinical practice.

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“…Conservative management may result in serious complications such as knee stiffness, inadequate alignment, delayed union or nonunion, prolonged hospitalization and related morbidity [3] . To achieve functional rehabilitation of the limb, surgical treatment should be performed to achieve complete anatomic restoration of the joint surface, adequate anatomical alignment, stable and rigid fixation without external immobilization to allow early mobilization [4,6,7] . Various types of internal fixation have been developed for this purpose.…”

Section: Introductionmentioning

confidence: 99%

“…Various types of internal fixation have been developed for this purpose. Most surgeons agree that distal femur fractures need to be treated operatively to achieve optimal patient outcomes [3,4] . Although good internal fixation results have already been reported with these fractures, over 30 years ago the number of revisions for non-union, loss of reduction and implant failure has been high [2,3] .…”

Section: Introductionmentioning

confidence: 99%

“…Although good internal fixation results have already been reported with these fractures, over 30 years ago the number of revisions for non-union, loss of reduction and implant failure has been high [2,3] . The options for operative treatment are traditional plating techniques that require compression of the implant to the femoral shaft (blade plate, Dynamic Condylar Screw, non-locking condylar buttress plate), antegrade nailing fixation, retrograde nailing, sub muscular locked internal fixation and external fixation [4] . However, as the complexity of fractures needing treatment has changed from simple extra-articular supra-condylar types to inter-condylar and metaphyseal comminuted types, these implants may not be ideal.…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of distal end femoral fractures in adults with locking compression plate

Ajaz¹,

Benguluri²,

Sundar³

2017

Int. J. Orthop. Sci.

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Objectives: A Study was made to study the functional outcome of Surgical Management of Distal end Femoral Fractures in Adults with Locking Compression Plate. Materials and Methods:In this study 15 patients with closed supracondylar fractures of femur (distal fifteen cm of femur) were studied. All the cases were treated at Deccan College of Medical Sciences, Hyderabad, between November 2013 to March 2015 at our institution and followed for a minimum of 4 months. Results: Excellent results were seen in about 20% patients according to functional outcome -NEER'S scoring. 6 patients had superficial infection and 1 patient had delayed union. Conclusions: Locking Compression Plate is an important armamentarium in treatment of fractures of distal end femur, especially when fracture is severely comminuted and in situations of osteoporosis. Fractures of distal and femur represent 4-6% of all femoral fractures, the traditional concept of internal fixation which requires an extended approach to the fracture fragments is presently being challenged by a more biological, traumatic approach with careful handling of soft tissue envelop and without bone grafting. The ultimate aim in treating these fractures in adult population is to achieve rapid bony union and allow early mobilization. The main Aim of study is to evaluate the results of Surgical Management of Distal end Femoral Fractures in Adults with Locking Compression Plate. Patients with Distal end femur fracture satisfying the inclusion criteria. The proposed study is a hospital based prospective study centered in orthopedic department, Deccan College of Medical Sciences, Hyderabad. The follow up would be for two year with evaluation at 2 weeks, 1 month, 3 months 12 months, and 24 months.

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The epidemiology of fractures of the distal femur

Cited by 300 publications

References 1 publication

Mortality After Distal Femur Fractures in Elderly Patients

Mortality After Distal Femur Fractures in Elderly Patients

Experimental and Theoretical Validation of Double Column Internal Fixation Theory for Distal Femoral Fractures

Surgical management of distal end femoral fractures in adults with locking compression plate

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