J Korean Fract Soc.  2011 Jul;24(3):288-293.

Treatment of Distal Femur Fracture

• Kim JJ
• Choi JH

Abstract

No abstract available.

MeSH Terms

Femur

Figure

• 

  Fig. 1 Lines of weakness on the distal femur.

• 

  Fig. 2 Anatomy of distal femur.

• 

  Fig. 3 (A) Implant (distal screws) that appear of appropriate length. (B) Distal screw is too long and cause painful medial irritation/poor plate position cause painful lateral irritation.

• 

  Fig. 4 AO/OTA classification.

• 

  Fig. 5 Improper nail depth cause patella notching and anterior knee pain.

• 

  Fig. 6 (A) AO/OTA classification type C/2 distal femur fracture. (B) Medial augmentation with plate for extensive metaphyseal communition.

Reference

1. Arneson TJ, Melton LJ 3rd, Lewallen DG, O'Fallon WM. Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965-1984. Clin Orthop Relat Res. 1988. 234:188–194.

2. Butt MS, Krikler SJ, Ali MS. Displaced fractures of the distal femur in elderly patients. Operative versus non-operative treatment. J Bone Joint Surg Br. 1996. 78:110–114.

3. Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006. 37:691–697.

4. Healy WL, Brooker AF Jr. Distal femoral fractures. Comparison of open and closed methods of treatment. Clin Orthop Relat Res. 1983. 174:166–171.

5. Heiney JP, Barnett MD, Vrabec GA, Schoenfeld AJ, Baji A, Njus GO. Distal femoral fixation: a biomechanical comparison of trigen retrograde intramedullary (i.m.) nail, dynamic condylar screw (DCS), and locking compression plate (LCP) condylar plate. J Trauma. 2009. 66:443–449.

6. Higgins TF, Pittman G, Hines J, Bachus KN. Biomechanical analysis of distal femur fracture fixation: fixed-angle screw-plate construct versus condylar blade plate. J Orthop Trauma. 2007. 21:43–46.

7. Kolb W, Guhlmann H, Windisch C, Marx F, Kolb K, Koller H. Fixation of distal femoral fractures with the Less Invasive Stabilization System: a minimally invasive treatment with locked fixed-angle screws. J Trauma. 2008. 65:1425–1434.

8. Martinet O, Cordey J, Harder Y, Maier A, Bühler M, Barraud GE. The epidemiology of fractures of the distal femur. Injury. 2000. 31:Suppl 3. C62–C63.

9. Merchan EC, Maestu PR, Blanco RP. Blade-plating of closed displaced supracondylar fractures of the distal femur with the AO system. J Trauma. 1992. 32:174–178.

10. Neer CS 2nd, Grantham SA, Shelton ML. Supracondylar fracture of the adult femur. A study of one hundred and ten cases. J Bone Joint Surg Am. 1967. 49:591–613.

11. Papadokostakis G, Papakostidis C, Dimitriou R, Giannoudis PV. The role and efficacy of retrograding nailing for the treatment of diaphyseal and distal femoral fractures: a systematic review of the literature. Injury. 2005. 36:813–822.

12. Pettine KA. Supracondylar fractures of the femur: long-term follow-up of closed versus nonrigid internal fixation. Contemp Orthop. 1990. 21:253–261.

13. Sanders R, Regazzoni P, Ruedi TP. Treatment of supracondylar-intracondylar fractures of the femur using the dynamic condylar screw. J Orthop Trauma. 1989. 3:214–222.

14. Sanders R, Swiontkowski M, Rosen H, Helfet D. Double-plating of comminuted, unstable fractures of the distal part of the femur. J Bone Joint Surg Am. 1991. 73:341–346.

15. Shewring DJ, Meggitt BF. Fractures of the distal femur treated with the AO dynamic condylar screw. J Bone Joint Surg Br. 1992. 74:122–125.

16. Weight M, Collinge C. Early results of the less invasive stabilization system for mechanically unstable fractures of the distal femur (AO/OTA types A2, A3, C2, and C3). J Orthop Trauma. 2004. 18:503–508.

17. Yang RS, Liu HC, Liu TK. Supracondylar fractures of the femur. J Trauma. 1990. 30:315–319.

18. Zlowodzki M, Bhandari M, Marek DJ, Cole PA, Kregor PJ. Operative treatment of acute distal femur fractures: systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma. 2006. 20:366–371.