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Journal articles on the topic 'Comminuted Distal Femur Fractures'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Prakash, Ayush, Sanjay Kumar, Rohit Nath, and Sanavvar Ali. "Functional and Radiological Outcomes after Locking Plate Fixation of AO Type 33C Distal Femur Fractures." Journal of Orthopaedic Case Reports 15, no. 2 (2025): 275–82. https://doi.org/10.13107/jocr.2025.v15.i02.5306.

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Introduction: Treatment of supracondylar and intercondylar fractures of the distal femur has historically been difficult. These fractures are often unstable and comminuted and tend to occur in the elderly or in patients with multiple injuries. Objective: The purpose of the study is to assess the functional and radiological outcome of locking plate fixation in AO type 33C distal femur fractures. Materials and Methods: A total of 49 patients with distal femoral fractures were operated by open reduction with internal fixation with a distal femur-locking compression plate (LCP) through the standar

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2

Gemayel, Anthony, Matthew J. Yousif, William Padget, and Joseph Finch. "Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction." Case Reports in Orthopedics 2019 (March 31, 2019): 1–5. http://dx.doi.org/10.1155/2019/6213807.

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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 dista

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3

Kale, Sachin, Shikhar Singh, Arvind Vatkar, Rohan Jayaram, Sonali Das, and Ashmit Verma. "Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up." Journal of Orthopaedic Case Reports 15, no. 2 (2025): 203–8. https://doi.org/10.13107/jocr.2025.v15.i02.5284.

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Introduction: This study evaluates the functional outcomes of combining distal femur plating with retrograde femur nailing in treating comminuted distal femur fractures. Case Report: A retrospective analysis was conducted on patients treated at a tertiary health care center from January 1, 2023, to November 30, 2023. The cohort comprised patients with an average age of 54.57 years (standard deviation [SD] = 13.34) and a male-to-female ratio of 3:4. The primary outcome measure was knee range of motion (ROM). At the 1.5-month follow-up, the average knee flexion was 54° (SD = 13.46). This improve

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Burtsev, Mikhail E., Aleksandr V. Frolov, Aleksei N. Logvinov, Dmitry O. Ilyin, and Andrey V. Korolev. "Surgical treatment of comminuted intraarticular distal femur fracture in patient with osteogenesis imperfecta type I." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 7, no. 1 (2019): 87–96. http://dx.doi.org/10.17816/ptors7187-96.

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Aim. Osteogenesis imperfecta (OI) is characterized by bone fragility and long bones deformities. Most studies are dedicated to surgical treatment of diaphyseal fractures. To our knowledge, there are no reports giving recommendations about surgical treatment of distal femur intraarticular fractures. Clinical case. We describe the surgical treatment of a 14-year-old girl with OI who had intraarticular fracture of the left distal femur and fracture of a right femur diaphysis. Surgical treatment was complicated by migration of a titanium elastic nail and impaired consolidation, which had to

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5

Pandey, K. K., Ashok Vidyarthi, and Naveen Kumar Cholak. "ASSESMENT OF FUNCTIONAL OUTCOME OF DUAL PLATING FOR COMMINUTED DISTAL FEMUR FRACTURE." International Journal of Advanced Research 11, no. 04 (2023): 1300–1312. http://dx.doi.org/10.21474/ijar01/16792.

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Background-Distal femur fractures are commonlyassociated with severemetaphysealcomminution and significant soft tissue injury.Locking plating is one of the best and modern options for treating supracondylar femur fractures with relatively low failure rates. Single lateral plating of distal femur fractures was often found to have a relatively higher failure. A medial platingin addition to lateral plating reduces the chances of failure of fixation and prevents varus collapse.The purpose of this study is toAssessment of Functional Outcome of Dual Plating For Comminuted Distal Femur Fracture. Mate

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6

Daroch, Manjit S., Deepak Vashisht, and Sanjeev Sreen. "Management of intra-articular fracture of distal femur with LCP and Lag screws in adults." International Journal of Research in Medical Sciences 5, no. 4 (2017): 1434. http://dx.doi.org/10.18203/2320-6012.ijrms20171241.

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Background: Accurate reconstruction of articular surface of distal femur by closed manipulation is not possible. The recent trend for displaced intra-articular fractures of the distal femur is open reduction and stable osteosynthesis with early rehabilitation. The best exposure is achieved through Swashbuckler approach with good results. Purpose of the study was to review the surgical management with LCP and lag screws of complex and most challenging intra-articular fracture of distal femur.Methods: 30 cases of intra-articular fractures of distal femur were treated with LCP and Lag screws in a

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7

Ravindra B Gunaki, Chitresh Mehta, Rahul Sharma, and Swapnil Chitnavis. "Study of outcome of knee joint in patients with fracture distal femur versus fracture ipsilateral femur and tibia." International Journal of Research in Pharmaceutical Sciences 12, no. 2 (2021): 1174–81. http://dx.doi.org/10.26452/ijrps.v12i2.4651.

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The posture on the two wheeler at the speed we travel, makes knee the vulnerable joint of all in any of the mishaps. We as orthopedic surgeons see the fractures around the knee joint as one of the most studied concept in the subject. This is a prospective study conducted, over 2 years, in Krishna Institute of Medical Sciences, Deemed to be University, Karad. In this study, 20 cases of fracture distal femur and 20 cases of ipsilateral fracture femur and tibia were studied to evaluate outcome of knee joint and post surgical stabilization of fractures. The fractured limb was stabilized with splin

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8

Vijendra, Parmar, Tandiya Amit, Zuber Mohammad, and Jain Rahul. "Functional Outcomes of Medial Column Augmentation in Comminuted Distal Femur Fractures: A Comparative Study." International Journal of Pharmaceutical and Clinical Research 15, no. 8 (2023): 1400–1404. https://doi.org/10.5281/zenodo.11522046.

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<strong>Background:</strong> Distal femoral fractures, often caused by high-energy incidents, present challenges due to comminution and subsequent complications. Non-union of the femur, resulting from factors like severe open fractures, infections, or implant failures, leads to functional limitations and reduced quality of life. Commonly, open reduction and internal fixation (ORIF) methods are employed, utilizing various devices such as locking plates, condylar screws, blade plates, and intramedullary nails. Deformities arising from distal femur fractures demand anatomical reconstruction.

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9

Kulkarni, Sunil, Saurabh R. Supare, Anjan Nadange, Rohith Garimella, and Pranit Pawaskar. "Double-plating approach in the management of isolated distal femoral fractures." International Journal of Research in Orthopaedics 9, no. 1 (2022): 77. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20223442.

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<p><strong>Background</strong>: Fractures above 9 cm of the articular surface of distal femur are defined as distal femoral fractures which accounts for an estimated 4%-6% of all femur fractures. Stable fixation can be achieved by dual plating of distal femoral fracture. The indications of a dual- lateral and medial plate medial are comminuted distal femur fractures (AO type C3), medial supra-condylar void and bone loss of more than 3 cm, medial Hoffa fracture, inter-condylar comminuted bicondylar fractures, non-union after failed fixation with single lateral plate, poor bone

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10

Cui, Shari, J. G. Bledsoe, Heidi Israel, J. T. Watson, and Lisa K. Cannada. "Locked Plating of Comminuted Distal Femur Fractures." Journal of Orthopaedic Trauma 28, no. 2 (2014): 90–96. http://dx.doi.org/10.1097/bot.0b013e31829f9504.

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11

Patterson, Brendan M., Stephen K. Benirshcke, Keith A. Mayo, and M. Bradford Henley. "Comminuted, Intraarticular Fractures of the Distal Femur." Journal of Orthopaedic Trauma 7, no. 2 (1993): 170. http://dx.doi.org/10.1097/00005131-199304000-00049.

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12

Meignanaguru, Muthusarvanakumar, Ganesh R. Shetty, Yogadeepan Dhakshinamurthi, and Deepak Srinivasan. "Management of Infected Gap Non-union of Distal Femur with Induced Membrane Technique using Limb Reconstruction System Followed by Augmentation Plating and Bone Grafting: A Case Report." Journal of Orthopedic Case Reports 14, no. 8 (2024): 30–35. http://dx.doi.org/10.13107/jocr.2024.v14.i08.4636.

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Introduction: Distal femur fractures are high-velocity injuries which accounts for 7–10% of all femoral fractures of which 5–10% are open fractures. Despite advances in techniques and implants, treatment remains a challenge, in many situations due to increased risk of infection, non-union and loss of range of motion. Surgical management of such complex injury includes radical debridement with stabilization followed by management of gap non-union with appropriate techniques and restores the range of motion. Case Report: We present a case of 20-year-old man who had suffered multiple orthopedic t

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13

Desouza, Clevio, and Nicholas Antao. "Potpourri – Recent and relevant literature in Distal Femur Fractures." Journal of Clinical Orthopaedics 7, no. 1 (2022): 56–59. http://dx.doi.org/10.13107/jcorth.2022.v07i01.471.

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Distal femur fractures include fractures of the supracondylar and intercondylar region and are relatively common injuries. The goals of treatment follow AO principles of anatomic reduction of the articular surface, restoration of limb alignment, length, and rotation. Despite improvements in implant design, management of distal femur fractures remains a challenge; fractures are often comminuted, intra-articular, and involve osteoporotic bone, making fixation challenging to achieve. In the geriatric trauma population, the incidence of co-morbidities is high and may impact the therapeutic options

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14

Sah, Shambhu, Navin Kumar Karn, Bikash KC, Roshan Yadav, Sailj Jung Dangi, and Anurag Raj Adhikari. "Outcomes of Surgical Management of Distal Femur Fracture with Distal Femoral Locking Compression Plate at Koshi Zonal Hospital." Birat Journal of Health Sciences 2, no. 3 (2018): 260–65. http://dx.doi.org/10.3126/bjhs.v2i3.18939.

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Introduction: Distal femoral fractures comprise 4-6% of all femur fractures. The management of distal femur fractures are challenging because of significant morbidity and complication rate even with advanced surgical techniques and implants. Open reduction and internal fixation (ORIF) with pre-contoured distal femoral locking compression plate (DF-LCP) is one of the most acceptable surgical procedures these days.Objectiv: Evaluation of functional outcomes of distal femur fractures managed surgically using DF-LCP at Koshi Zonal Hospital.Methodology: In this cross sectional study 21 patients hav

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15

Baskey, Sidheswar. "Short Term Analysis of the Functional and Radiological Outcome of Distal Femoral Fractures Fixed with Locking Compression Plate by Minimally Invasive Plate Osteosynthesis (MIPO) Technique." Odisha Journal of Orthopaedics and Trauma 3, no. 1 (2022): 39–43. http://dx.doi.org/10.13107/ojot.2022.v03i01.032.

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Background: Fractures of distal femur are very complex injuries and there is significant difficulty to manage. These injuries are severe and have a potential to produce long term disability. These fractures often are unstable and comminuted and tend to occur in elderly or multiply-injured patients. The fractures of distal femur account for 7% of all femoral fractures. If Hip fractures are excluded, 31% of fractures involve the distal femur. The fractures involving distal 15 cm of femur including distal femoral metaphysis (supracondylar) and articular surface (intercondylar) are classified as d

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16

Guo, Zhimin, Hui Liu, Deqing Luo, Taoyi Cai, Jinhui Zhang, and Jin Wu. "Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures." Medicina 59, no. 2 (2023): 207. http://dx.doi.org/10.3390/medicina59020207.

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Background and Objectives: At present, the management of comminuted distal femur fractures remains challenging for orthopedic surgeons. The aim of this study is to report a surgical treatment for comminuted distal femur fractures using supplementary medial cortical bone plate allografts in conjunction with the lateral less invasive stabilization system (LISS) plates. Materials and Methods: From January 2009 to January 2014, the records of thirty-three patients who underwent supplementary medial cortical bone plate allografts combined with lateral LISS plates fixation were reviewed. Clinical an

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17

Chao, Ching-Kong, Chun-Ching Hsiao, and Po-Quang Chen. "Optimal Distal Screw Alignment in the Gamma Nail." Journal of Mechanics 18, no. 2 (2002): 103–8. http://dx.doi.org/10.1017/s1727719100002069.

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AbstractThe effect of stress distribution due to the changes of the distal screw alignment in relation to the Gamma nail and the femoral shaft is thoroughly studied in this paper. Failure of the Gamma nail composite occurs through the cranial aperture of the distal screws and the insertion hole for the lag screw due to nonunion, delayed-union and continued weight-bearing. A three-dimensional finite element model was used to study the fractured femur, the Gamma nail, the lag screw and the distal locking screws. The first and the second distal screws were inserted into the Gamma nail in four dif

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18

M, Doukouré, Kéita K, Camara A, et al. "Surgical Treatment of Distal Femur Fractures in Adults: Evaluation of Results." Journal of Orthopedics & Bone Disorders 9, no. 1 (2025): 1–6. https://doi.org/10.23880/jobd-16000286.

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Introduction: Distal femoral fractures are defined as any bone gap in the femur whose focal point projects into the distal epiphyseal-metaphyseal line delimited by the “HEIM epiphyseal square”. The aim was to identify the anatomo-pathological forms of recent fractures of the distal extremity of the femur in adults, and to assess their treatment. Patients and Methods: This was a prospective, descriptive study of three (03) years, from January 1, 2013 to December 31, 2015, involving 45 patients at the Orthopedics-Traumatology Department of the Ignace Deen University Hospital. Adult patients rece

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Chin, SL, H. Umar, and A. Zaharul. "Proximal And Distal Femur Replacement For Patient With Non Union Fracture Of Intertrochanteric And Supracondylar Of Femur In A District Hospital." Orthopaedic Journal of Sports Medicine 8, no. 5_suppl5 (2020): 2325967120S0011. http://dx.doi.org/10.1177/2325967120s00116.

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Introduction: Non-union of intertrochanteric and supracondylar fractures of femur are uncommon which results in pain and functional disability, presenting major surgical challenge. We wish to report on two cases regarding endoprosthesis as management for non-union. Case Presentation: Patient A is 54 years old lady sustained closed comminuted intertochanteric fracture of right femur (31A2.3). She underwent open reduction, intramedullary nail with cerclage wire on day 3 post trauma. At 6 months, there is sign of avascular necrosis of femur head with non-union fracture site. Patient still complai

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20

Da Conceição, Maria Eduarda Bastos Andrade Moutinho, Levi Oliveira Dos Santos, Guilherme Sembenelli, et al. "Interlocking Nail Combined with Locking Plate Fixation for a Distal Diaphysis Femur Comminuted Fracture in a Dog." Acta Scientiae Veterinariae 46 (February 25, 2018): 5. http://dx.doi.org/10.22456/1679-9216.86249.

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Background: Interlocking Nail (ILN) is similar a solid intramedullary pins with screws or bolts passing through one and nail holes (locking effect). This implant mostly have been putted normograde, passing by trochanteric fossa of femur, although it is reported to be inserted through the knee, passing by fracture focus and ending close to proximal femur. It is carriedout especially when there is a comminuted fracture in distal third shaft of femur. Locking plate systems work as internal fixators with some advantages compared to conventional plates. It can be used combined with intramedullary p

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Kalariya, Mayur K., Ankit R. Patel, and Dhruvik K. Lathiya. "Study of importance of medial cortex in distal femur comminuted fracture." International Journal of Research in Orthopaedics 8, no. 4 (2022): 477. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20221625.

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<p><strong>Background:</strong> Distal femur fractures require high energy trauma by means of road traffic accidents. There are various modalities of fixation, involving plating, external fixator and intramedullary nailing. cause of nonunion like smoking, osteoporosis, early weight bearing, improper construction of fixation, improper reduction.</p><p><strong>Methods:</strong> The study was conducted on 20 patients having distal femur fractures operated previously by using a different modality of implant goes in failure like bending of implant, broken o

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Sebastian, Kevin, Dr Sanoj P. Poulose, Dr. Akhil K. Thomas, and Dr. Shery Valsan. "Evaluation of functional outcome in patients treated with locking compression plate for distal femur fractures." JOURNAL OF THE BULGARIAN ORTHOPAEDICS AND TRAUMA ASSOCIATION 61, no. 01 (2024): 39–47. http://dx.doi.org/10.58542/jbota.v61i01.94.

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Distal femur fractures are always a challenge to an orthopedic surgeon. They may be unstable and comminuted. Thin cortex, wide medullary canal, relative osteopenia and short distal segment adds to the complexity. The present study assessed the functional outcome of using locking compression plate fixation for fractures of distal end of femur in patients admitted to JMMC orthopedics department satisfying the inclusion and exclusion criteria from December 2017 to may 2019. Twenty cases were taken in this study. Serial follow up was done at 4, 8, 12, 24 weeks and functional outcome was assessed a

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Akshay, Kumar N. S., Ravikumar R, Padmanabhan Vishnu, and V. S. Sandeep. "The Short-Term Outcome of Spanning in Bridge Plating using DFLP in Comminuted Supracondylar Femur Fracture of Adults, a Longitudinal Study." International Journal of Pharmaceutical and Clinical Research 16, no. 6 (2024): 1879–85. https://doi.org/10.5281/zenodo.12748019.

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<strong>Background: </strong>Comminuted supracondylar femur fractures pose significant challenges for orthopedic surgeons. Bridge plating using distal femoral locking plates (DFLP) has emerged as a promising technique for the management of these complex fractures. This study aimed to evaluate the short-term outcomes of bridge plating using DFLP in comminuted supracondylar femur fractures. <strong>Methods:</strong> A longitudinal study was conducted on 58 patients with comminuted supracondylar femur fractures (AO type A3 and C2) treated using bridge plating with DFLP. The study p

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Szelerski, Łukasz, Radosław Górski, Sławomir Żarek, Karol Mochocki, and Paweł Małdyk. "Comminuted Fractures of the Distal Femur Treated with Ilizarov External Fixator. Case Series Study." Ortopedia Traumatologia Rehabilitacja 19, no. 6 (2017): 553–62. http://dx.doi.org/10.5604/01.3001.0010.8071.

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Background. Distal femoral fractures constitute a type of lower limb injuries that is rare and difficult to treat. Despite advances in surgical technique and development of implants used for internal fixation of fracture fragments, the treatment continues to result in numerous complications. The Ilizarov External Fixator reduces the risk of complications and allows for bone union. Material and methods. Six men with distal femoral fractures resulting from multisite and multiorgan injuries were treated at the Department of Orthopaedics and Musculoskeletal Traumatology of the Medical University

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Kassab, Mostafa Elsayed, Mohamed Roshdy El-Tabakh, Abd Elhafez Abd Elhafez Megahed, and Mostafa Ahmed Ayoub. "Outcome of dual plating in comminuted unstable distal femur fractures." International Journal of Orthopaedics Sciences 10, no. 2 (2024): 265–72. http://dx.doi.org/10.22271/ortho.2024.v10.i2d.3564.

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Khaled, Abdullah, Mahmoud El-Rosasy, Ahmed Shafik, and Osama El-Gebaly. "Management of complex distal femur fractures with bone loss using the ‘three-in-one technique’." Egyptian Orthopaedic Journal 58, no. 3 (2023): 159–68. http://dx.doi.org/10.4103/eoj.eoj_90_23.

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Abstract Purpose The reconstruction of complex distal femur fractures with bone loss is a surgical challenge. The aim of the present study was to evaluate the effectiveness of the ‘three-in-one’ surgical technique, which combines a retrograde nail linked to a lateral locked plate with defect reconstruction using a bone graft in a synthetic scaffold. Materials and Methods A prospective study was conducted at a level 1 trauma centre from 2016 to 2021. Comminuted distal femur fractures (OTA/AO type 33A3, 33C2, or 33C3) with bone loss in skeletally mature patients were included. The ‘three-in-one’

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Moukarzel, Rita, Dany Aouad, Mohammad Daher, Wendy Ghanem, Hady Ezzeddine, and George El Rassi. "Management of a Complex Supracondylar Periprosthetic Femur Fracture with Intramedullary Strut Allograft and Bilateral Locking Plates." Case Reports in Orthopedics 2021 (November 17, 2021): 1–8. http://dx.doi.org/10.1155/2021/4882382.

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Supracondylar periprosthetic femoral fractures occurring above total knee replacements have been considered a rare entity. However, they continue to increase in frequency with the increasing number of arthroplasties and the improvement in morbidity and mortality in the concerned patient population. The management of periprosthetic distal femoral fractures is a challenging orthopedic problem. In this brief communication, a case of 49-year-old woman with rheumatoid arthritis who sustained a low distal comminuted periprosthetic femoral fracture is presented. Her fracture was eventually managed wi

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P, Sai Prashanth Reddy, Avinash Reddy Pashap, and Pushkar Deepak. "A Study of Radiological and Functional Outcomes of Dual Plating in the Treatment of Distal Femur Fractures." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 548–56. https://doi.org/10.5281/zenodo.12172518.

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<strong>Background:</strong> In distal femur fractures stable fixation can be achieved by using two plates on the distal femur. The presence of a medial plate, in addition to the lateral plate, is recommended for specific cases, such as when there is bone loss in the medial supracondylar region, low trans-condylar bicondylar fractures, medial Hoffa fractures, peri-prosthetic distal femur fractures, non-union following unsuccessful fixation with a single lateral plate, poor bone quality, and comminuted distal femur fractures (AO type C3). We in the current study tried to analyze the outcom

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Saka, Natsumi, Yoshinobu Watanabe, Gen Sasaki, and Hirotaka Kawano. "Corrective Intra-Articular Osteotomy Using a 3D-Printed Model and Induced Membrane Technique for AO/OTA C3 Distal Femur Fracture with Articular Malunion and Metaphyseal Nonunion." Case Reports in Orthopedics 2020 (January 28, 2020): 1–8. http://dx.doi.org/10.1155/2020/1250231.

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Comminuted distal femur fracture is a challenging injury, and care must be taken to reduce the articular fragment and acquire the sufficient stability for the metaphyseal comminution. We report the case of a AO/OTA C3-type distal femur fracture with articular malunion and metaphyseal nonunion. Articular malunion was treated with corrective osteotomy using a 3D-printed model for planning, and metaphyseal nonunion was treated with an induced membrane technique. Conclusion. Two major complications in the comminuted periarticular fracture can be addressed by an osteotomy and induced membrane techn

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Shrivastava, Raman, and Namita Shrivastava. "To Study Surgical Management of Distal Femoral Fractures & its Complication." International Journal of Research and Review 8, no. 6 (2021): 40–44. http://dx.doi.org/10.52403/ijrr.20210607.

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Background: Fractures of distal end of femur are complex injuries which are difficult to manage. These fractures often are unstable and comminuted. Despite advances in surgical techniques and improvement in implants, treatment of distal femoral fractures remains a challenge in many situations. This study was done to analyse the functional outcome and this management of distal femoral fractures with its complication. Material & Methods: This study has been done between August 2008 to March 2010 on patients coming to Orthopaedics Department at Jawaharlal Nehru Hospital and Research Centre, B

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Akash, Samal, and Soubhagya Mohapatra Swagat. "Evaluation of the Functional Outcome of Open and Closed Reduction Techniques for Distal Femur Fractures: A Prospective Study." International Journal of Pharmaceutical and Clinical Research 15, no. 7 (2023): 1632–39. https://doi.org/10.5281/zenodo.12006943.

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<strong>Introduction:</strong> Distal femur fractures represent a prevalent occurrence frequently encountered by orthopedic surgeons in their routine clinical practice. The fractures in question present therapeutic challenges in terms of fracture treatment due to their typical compound nature, comminuted pattern, and susceptibility to deformation caused by muscle forces exerted on the distal fragment. Additionally, these fractures have a tendency to result in functional impairment of the knee joint due to the injury sustained by the quadriceps system. There exists a lack of a universally

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Linker, Jacob A., Abhishek Ganta, Kenneth A. Egol, and Sanjit R. Konda. "Outcome of a Nail-plate Fixation Combination for a Distal Femur Fracture in a 99-year-old Patient." Journal of Orthopaedic Case Reports 15, no. 1 (2025): 46–50. https://doi.org/10.13107/jocr.2025.v15.i01.5120.

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Introduction: This report describes the use of a combination of a retrograde femoral nail and distal femur locking plate for the treatment of an open intra-articular distal femur fracture in a 99-year-old female. The purpose of this report is to highlight that nail-plate fixation constructs can be performed percutaneously and expeditiously even in extremely old patients; therefore, patient age should not be a limiting factor in choosing this construct to allow for immediate weight-bearing. Case Report: The patient was a 99-year-old female who presented to the emergency room after a fall. Plain

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Sokolov, V. A., E. I. Byalik, A. T. Takiev, et al. "Surgical Treatment of Distal Femur Fractures in Patients with Concomitant and Multiple Injury." N.N. Priorov Journal of Traumatology and Orthopedics 11, no. 1 (2004): 20–26. http://dx.doi.org/10.17816/vto200411120-26.

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On the base of experience in treatment of 114 patients with concomitant and multiple injury (1996-2003) the indications, terms and tactics of operative intervention in complicated comminuted fractures of distal femur were determined. During resuscitation period in open fractures primary debridment and stabilization with external fixation devices was performed. In closed fractures immobilization by skeletal traction; in movement irritation - by external fixation device was used. At 10-21 day after trauma deep osteosynthesis with fixatives (angular plate - 51 fractures, condylar plate - 30 fract

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Zhang, Guo-xu, Ji Li, Qi-jun Xie, Mei-ren Zhang, Kui Zhao, and Hai-yun Chen. "Meta-analysis of the clinical efficacy and safety of single versus dual plate in the treatment of comminuted distal femur fractures." EFORT Open Reviews 9, no. 6 (2024): 556–66. http://dx.doi.org/10.1530/eor-23-0160.

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Objective Through meta-analysis, this study aims to comprehensively evaluate the efficacy of single-plating and double-plating in the treatment of comminuted fractures of the distal femur. Methods Computer searches of PubMed, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM), VIP, and Wanfang digital journals were performed, and the timeframe for the searches was from the establishment of each database to July 2023 for each of the databases. Meta-analysis was performed using RevMan 5.4 software provided by the Cochrane Library, and the revie

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Khajotia, B. L., Vikrant Shekhawat, Shakti Chauhan, and Sunil Bhatiwal. "Clinical and radiological outcome of distal femoral fractures treated by distal femoral locking compression plate." International Journal of Research in Orthopaedics 5, no. 6 (2019): 1083. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20194815.

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<p class="abstract"><strong>Background:</strong> Distal femoral fractures represent a challenging problem in orthopaedic practice. Open reduction with internal fixation has replaced previous trends of closed conservative management and external fixation. Distal femoral locking compression plate (DF-LCP) provides both locking and compression screw fixation of the femur shaft. This study was conducted to assess the clinical and radiological results of distal femoral fractures treated with DF-LCP.</p><p class="abstract"><strong>Methods:</strong> It was a

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Konuganti, Sridhar Reddy, Sreenath Rao Jakinapally, Vennamaneni Pratish Rao, and Sivaprasad Rapur. "Management of distal femur fractures with locking compression plate: a prospective study." International Journal of Research in Orthopaedics 4, no. 2 (2018): 208. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20180459.

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<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 a

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Madhusudhan Reddy U, M. "Management of Comminuted Distal Femur Fracture with Fibular Strut Graft: A Case Report." International Journal of Science and Research (IJSR) 13, no. 4 (2024): 824–27. http://dx.doi.org/10.21275/sr24408112835.

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Shani, J., and U. Segal. "Surgical management of large segmental femoral and radial bone defects in a dog." Veterinary and Comparative Orthopaedics and Traumatology 23, no. 01 (2010): 66–70. http://dx.doi.org/10.3415/vcot-09-04-0047.

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SummaryIn this case report, we describe the use of a cylindrical titanium mesh cage combined with cancellous bone graft to surgically manage large segmental bone defects in a dog. A seven-year-old, neutered male cross-breed dog, with highly comminuted fractures of the right femur and the left radius and ulna, was referred for treatment. Previous open reduction and internal fixation of these fractures had failed. Following implant removal and debridement of each bone, a 71 mm segmental femoral defect and a 27 mm segmental radial defect were present. A commercially available cylindrical titanium

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Yeh, Kuei-Lin, Chen-Kun Liaw, Chiou-Shann Fuh, Chu-Song Chen, Chen-Hao Chiang, and Kao-Shang Shih. "Successful Plate Fixation with Long Intramedullary Fibula Bone Graft for Periprosthetic Femur Fracture: A Case Report." Medicina 58, no. 9 (2022): 1148. http://dx.doi.org/10.3390/medicina58091148.

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Background and objectives: Treatment of a displaced or comminuted periprosthetic distal femur fracture is challenging, especially in patients with osteoporosis. In this case report, we shared our successful surgical experience of using a long intramedullary fibula bone graft in a plate fixation surgery for a periprosthetic distal femur fracture in an extremely elderly patient with osteoporosis. Case report: A 95-year-old woman with severe osteoporosis (bone mineral density level: −3.0) presented with right knee pain and deformity after a fall, and a right periprosthetic distal femur fracture w

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Butala, Rajendraprasad Ramesh, Sonali Das, and Garvit Khatod. "Use of Skeletal Traction in Distal 1/3rd Tibia Intraoperatively for Achieving Reduction in Proximal Tibia Fracture." Journal of Clinical Orthopaedics 9, no. 2 (2024): 78–82. https://doi.org/10.13107/jcorth.2024.v09i02.674.

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Introduction: Skeletal traction is a technique used to manage fractures by applying continuous axial force directly to the bone through a pin inserted through it. This method is particularly useful in maintaining proper alignment of fracture fragments, reducing pain, and preventing muscle spasms. It is commonly employed in the management of long bone fractures, such as those of the femur, especially when immediate surgical intervention is not possible. Skeletal traction stabilizes the fracture, facilitating proper healing and often serving as a temporizing measure before definitive surgical fi

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Mahadik, Sujay K., Sasha Martyres, Mrutyunjay S. Gaonkar, Anish W. Isapure, and Shrikant B. Deshpande. "Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially." Asian Journal of Medical Sciences 12, no. 3 (2021): 81–87. http://dx.doi.org/10.3126/ajms.v12i3.32982.

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Background: Distal femur fractures are generally due to high velocity trauma particularly form road traffic accidents and fall from height. The treatment of distal femur fractures has evolved from conservative to operative to fixation of both lateral and medial columns of femur. Aims and Objective: The aim of this study was to evaluate the functional outcome of operated cases of comminuted fracture of lower end of femur fixed with locking compression plate laterally and augmented with titanium elastic nail system medially. Materials and Methods: The present study was a prospective

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Hassankhani, Ebrahim Ghayem, Ali Birjandinejad, Farzad Omidi Kashani, and Golnaz Ghayem Hassankhani. "Hybrid External Fixation for Open Severe Comminuted Fractures of the Distal Femur." Surgical Science 04, no. 02 (2013): 176–83. http://dx.doi.org/10.4236/ss.2013.42033.

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Velankar, Ameya Haritosh, Sanjeev Singh, Ashok Ghodke, Deepak Jain, Aditya More, and Kriteya Singh. "Challenges Faced in the Surgical Fixation of a 4 Part Inter-Trochanteric Fracture in a Patient with Ipsilateral Below Knee Amputation and Uncontrolled Diabetes Mellitus." Journal of Clinical Orthopaedics 8, no. 2 (2023): 88–90. http://dx.doi.org/10.13107/jcorth.2023.v08i02.614.

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Operative treatment of hip fractures in a patient with below-knee amputation on the same extremity poses a great challenge in terms of obtaining an optimal amount of traction for fracture reduction. The absence of the foot and the distal lower limb which makes the positioning difficult and other medical co-morbidities contribute to the same. We present a case report of a 66-year-old man with ipsilateral below-knee amputation who underwent surgical fixation of a comminuted 4-part right intertrochanteric femur fracture. We discuss the pros and cons of various methods and highlight a simple and e

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Rakesh, Kumar Gupta, and Singh Mohkam. "Distal Femur Fracture Surgical Management Study Using Locking Compression Plate." International Journal of Toxicological and Pharmacological Research 12, no. 8 (2022): 357–65. https://doi.org/10.5281/zenodo.11619250.

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<strong>Background: </strong>Throughout the history of fracture treatment, fractures in the distal femur have presented significant therapeutic obstacles. Because of the muscular forces operating on the distal piece, these fractures are frequently comminuted and easily distorted. As a result of the quadriceps system being injured, the knee joint and ankle suffer functional impairment. Additionally, frequently seen in elderly osteoporotic patients are distal femur fractures. It has been demonstrated that internal fixation with LCP yields some of the greatest outcomes in terms of healing, f

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Stevens, Jarrad M., Nick D. Clement, Tom Beckingsale, and James T. Patton. "Bilateral distal femoral endoprosthesis for trauma." JRSM Open 11, no. 11 (2020): 205427042097072. http://dx.doi.org/10.1177/2054270420970725.

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In this paper, we describe the outcome of bilateral distal femoral endoprosthesis for the management of acute severe trauma. We also review the literature to ascertain the published functional results of distal femoral endoprosthesis for acute trauma of native knees. In severely comminuted intra-articular fractures, such as those our patient sustained, reconstruction is not always possible, and predictable outcomes can rarely be assured with conviction. Endoprosthesis is an established treatment modality for replacement after resection in limb salvage surgery. In this regard, there is a limite

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Lin, Dasheng, Kejian Lian, Jiayuan Hong, Zhenqi Ding, and Wenliang Zhai. "Pediatric Physeal Slide-traction Plate Fixation for Comminuted Distal Femur Fractures in Children." Journal of Pediatric Orthopaedics 32, no. 7 (2012): 682–86. http://dx.doi.org/10.1097/bpo.0b013e3182694e21.

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Khalil, Mohamed Ashraf, Weam Farid, and Saad Gad. "Swashbuckler approach and surgical technique in severely comminuted fractures of the distal femur." Current Orthopaedic Practice 26, no. 3 (2015): 269–76. http://dx.doi.org/10.1097/bco.0000000000000226.

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Babu P, Anil, and Prasanth M. "COMMINUTED FRACTURES OF DISTAL FEMUR- A STUDY ON LIMITED DISSECTION FOR INTERNAL FIXATION." Journal of Evolution of Medical and Dental Sciences 6, no. 40 (2017): 3181–84. http://dx.doi.org/10.14260/jemds/2017/687.

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Sanders, R., M. Swiontkowski, H. Rosen, and D. Helfet. "Double-plating of comminuted, unstable fractures of the distal part of the femur." Journal of Bone & Joint Surgery 73, no. 3 (1991): 341–46. http://dx.doi.org/10.2106/00004623-199173030-00004.

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Giordano, Vincenzo, Bruno Parilha Coutinho, Mateus Kenji Miyahira, Felipe Serrão Mendes de Souza, and Ney Pecegueiro do Amaral. "Use of Nonvascularized Autologous Fibular Strut Graft in the Treatment of Major Bone Defect after Periprosthetic Knee Fracture." Case Reports in Orthopedics 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/1650194.

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We present the case of a patient who suffered a comminuted supracondylar periprosthetic femur fracture. The patient was an 86-year-old lady who suffered a minor fall at home and presented at our hospital with a right comminuted distal femur fracture around a total knee arthroplasty. The patient was submitted to a cruciate-sacrificing total knee replacement 6 years before at the same institution. Despite severe metaphyseal fragmentation and short distal fragment, the prosthesis was stable; thus, open fracture reduction and stabilization with internal fixation were performed. The surgical techni

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