Treatment of fractures of the distal femoral – overviews of osteosynthesis funds

Abstract

Distal femoral fractures thigh up from 4 to 9% of all fractures of the femur. There is a direct relationship between the mechanism of receipt of the lesion and the age, sex and the type of fracture. Caused mainly by high-traumatic effects and lead to a high degree of disability. For these reasons, injuries in this anatomical area are of great social importance. The goal of the distal femur fractures treatment is to recover patients preoperative status for the shortest possible period. This may be achieved by open reposition and internal fixation. Recent years are characterized by significant progress in the treatment of this type of fracture. This is due to the rapid development of new and sound biomechanical implants: 95 ° Angled blade plates (ABP), condylar buttress plates (CBP), dynamic condylar screw (DCS), retrograde intramedullary nails (two locking or a locking screw + spiral blade), LISS-plates. The discussion in the treatment of these fractures is concentrated in the choice of means of internal fixation by which to achieve the greater stability of the individual type of fracture.

Sağlık Bilimlerinde Akademik Analiz ve Tartışmalar

“…In mammals, the male reproductive system is supported by a group of accessory sex glands, including the seminal vesicle (vesicular seminalis), ampulla of the deferential duct, prostate gland and bulbourethral glands (glandula bulbourethralis) (Barone and Simoens, 2001;Dimitrov and Russenov, 2006). However, not all of these secretory glands may be found in all mammalian species.…”

Distal femural fractures. Surgical options

“…The blade should not extend over the medial cortex of the condyle to avoid damaging the medial collateral ligament. The invasiveness of the distal blade prevents it from being positioned too distally; the distance between the joint surface and the blade should be about 15-20 mm 25 . This system, although valid, is no longer very popular as it is more complex than the most recent synthesis systems.…”

“…The screw conformation allows for interfragmentary compression in diacondylar fractures. However, the large screw hole causes a discrete loss of bone tissue; also in this case the distance between the cartilaginous surface of the femur and the screw must be at least 2 cm 25 . Nowadays, anatomical locking compression plates are the most common osteosynthesis.…”