Open AccessORIF With Submuscular Plating of an Intercondylar/Supracondylar Distal Femur Fracture
Author(s) -
Dax T. Varkey,
Robert F. Ostrum
Publication year - 2018
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000001218
Subject(s) - medicine , internal fixation , reduction (mathematics) , fixation (population genetics) , femur , condyle , surgery , range of motion , coronal plane , orthodontics , radiology , population , geometry , mathematics , environmental health
Fractures of the distal femur with intercondylar extension and comminution are challenging cases and demand a thorough preoperative evaluation and execution of proper surgical technique. Identification of the intra-articular fractures, including coronal fractures of the lateral condyle, is important in planning surgery and emphasizes the need for computerized tomography scans. Recent advances with anatomic, locking plates have made minimally invasive surgery easier, but joint reduction needs to be performed meticulously in an open manner, and restoration of the mechanical alignment through plate fixation is essential for a good clinical outcome. Stable fixation that allows for early range of motion and mobilization are essential for the patient's recovery. This video demonstrates open reduction and internal fixation of a high-energy supracondylar/intercondylar distal femur fracture and emphasizes minimally invasive, biologically friendly techniques.