COMMINUTED FRACTURES OF DISTAL FEMUR- A STUDY ON LIMITED DISSECTION FOR INTERNAL FIXATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 40
Abstract
BACKGROUND Supracondylar fracture of femur occurs in a variety of situations. In high velocity trauma, the impact is so high that these fractures occur with comminution and compromised soft tissue cover. MATERIALS AND METHODS Our study consists of 29 cases of supracondylar fractures of femur with intercondylar extension, wherein fracture reduction is required in all planes. We have performed these surgeries with one approach and manoeuvring the multiple fragments for alignment by limiting the dissection, for distal femoral plate, for this study. RESULTS We could reduce the fragments with near anatomical congruity at the distal femur with single approach. CONCLUSION High impact supracondylar fractures can be reduced with anterolateral approach and manoeuvring the fragments on medial condyle with limited dissection, by keeping the Gastrocnemius in relaxed position. It saves another incision and soft tissue cover on the medial side and the skin which has already suffered from the impact of the trauma.
Authors and Affiliations
Anil Babu P, Prasanth v
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