Comminuted distal femur fracture. Medical search. Frequent questions

For most proximal femoral fractures in children, treatment consists of closed reduction followed by a spica cast or open or closed reduction followed by internal fixation and a spica cast. (medscape.com)
There are certainly some complications that you never considered would develop that surprise you but in general, the surgeon can improve and limit the number of problems through a better understanding of fracture biomechanics and experience with a wide variety of patients, fixation techniques and postoperative environments. (vin.com)
I have seen a few acetabular fractures treated with internal fixation and an Ehmer sling develop marked periarticular fibrosis and dramatically reduced extension with a poor long term result. (vin.com)
Definitive fixation of open tibia fractures: Does reopening the traumatic wound increase complication rates? (psu.edu)
From Jan 2017 to Dec 2019, 357 patients with per/intertrochanteric femur fractures underwent surgery by closed reduction and internal fixation, of whom 12 patients were indentified with rare preoperative imaging features, the lesser trochanter was almost equally bisected. (researchsquare.com)
The proximal part of the lesser trochanter connected to the head-neck fragment and attached by the psoas major tendon, while the distal part of the lesser trochanter connected to the femoral shaft and attached by the tendon of the iliac muscle.These fractures were irreducible by a closed maneuver and were reduced with limited assistance by some devices, and short intramedullary nails were used for fixation of these fractures. (researchsquare.com)
Soft tissue release and short cephalomedullary nail fixation for this fracture pattern provide stable fixation and allow early exercise. (researchsquare.com)
The mainstay of surgical management for distal femur fractures is retrograde nailing or open reduction internal fixation (ORIF). (teachmesurgery.com)
In certain cases, external fixation may be used in severe comminuted or open fractures. (teachmesurgery.com)
The management of a peri-prosthetic distal femur fracture is more complex, and may require intramedullary nailing, open reduction internal fixation, revision to a long stem prosthesis, or a distal femoral replacement. (teachmesurgery.com)
Open reduction internal fixation is often the preferred method in the presence of an intact and stable prosthesis, while long stem revision or distal femoral replacement is more commonly employed when the femoral component is loose. (teachmesurgery.com)
Risk factors for failure of locked plate fixation of distal femur fractures: an analysis of 335 cases. (jojs.in)
Varus collapse of comminuted distal femur fractures after open reduction and internal fixation with a lateral condylar buttress plate. (jojs.in)
Physical and biological aspect of fracture healing with special reference to internal fixation. (ijoro.org)
Evolution of internal fixation of long bone fractures. (ijoro.org)
Nails are the implants used in the fixation of fractures of long bones. (sharmaortho.com)
Used for the fixation of Pertrochanteric fractures ,Intertrochanteric fractures ,High subtrochanteric fractures,Ipsilateral trochanteric fractures,Combination fractures (in the proximal femur) ,Pathological fractures. (sharmaortho.com)
Elegant™ Gam Nail is a new internal fixation device for the treatment of proximal femoral fractures. (sharmaortho.com)
It is used for the fixation of diaphysial fractures, of simple,complex or comminuted lines, up to 5 cm proximal to distal femur metaphyseal. (sharmaortho.com)
is system provide secure fixation of diaphysial fractures and this secure fixation permits controlled, early active rehabilitation, conductive to fall recovery. (sharmaortho.com)
External or internal fixation or a knee replacement may be required depending on the extent of the fracture. (johnfeldmanmd.com)
Supplemental medial small fragment fixation adds stability to distal femur fixation: A biomechanical study. (stanford.edu)
INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
Eight femurs underwent fixation with lateral locked plates alone and were matched with eight femurs treated with dual plating: lateral locked plates with supplemental medial small fragment non-locking fixation. (stanford.edu)
The rigid intramedullary interlocking nail is a valuable option for the fixation of femoral shaft fractures in an adolescent age group with a good union rate and minimal complications. (ijrsms.com)
Total Hip Arthroplasty Following Failed Fixation of Proximal Hip Fractures. (ditodelhi.com)
Fixation of the subtrochanteric fracture in two patients of osteopetrosis by using distal femur Locking Compression Plate ( DF-LCP) of the contralateral side report of 2 cases.European Journal of Trauma & Emergency Surgery. (ditodelhi.com)
Patella Fracture Fixation With Novel Wagon Wheel Construct Versus Tension-Band Construct: A Technical Trick. (mayoclinic.org)
Pain Management following Open Reduction and Internal Fixation of Distal Radius Fractures. (mayoclinic.org)
Interlocking nails are an innovation in fracture fixation that came from WWII. (wm-referrals.com)
Last few decades has seen increasing trend towards operative management of femoral shaft fractures in paediatric patients but opinion regarding optimal method of fixation of these fractures remains divided [ 12 ]. (biomedcentral.com)

A femoral shaft fracture is a break that occurs anywhere along the femoral shaft, long, straight part of the femur. (richardyoonmd.com)
When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. (peninsulaboneandjoint.com)
The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash. (peninsulaboneandjoint.com)
A lower-force incident, such as a fall from standing, may cause a femoral shaft fracture in an older person who has weaker bones. (peninsulaboneandjoint.com)
A femoral shaft fracture usually causes immediate, severe pain. (peninsulaboneandjoint.com)
The following video has been prepared by the Queensland Ambulance Service and demonstrates the correct application of the CT-6 Splint on an adult patient with a femoral shaft fracture. (nsw.gov.au)
Indication for surgery in all cases was displaced femoral shaft fracture with open femoral physis. (biomedcentral.com)

In my opinion, complications that develop following management of fractures in small animal practice can be a humbling experience and clinical experience plays a major role in reducing the frequency of complications. (vin.com)
I enjoy the ongoing challenge of fracture repair and attempt to learn from complications that develop and then to apply that knowledge to the benefit of future patients. (vin.com)
Complications following a distal femur fracture include malunion (more common for fractures that have been plated), non-union (can occur in up to 19%, most common in the metaphyseal area), and secondary osteoarthritis , especially those with intraarticular extension of the fracture. (teachmesurgery.com)
Aim of the study was to describe complications and problems in treating the fracture around knee joint by using LCP (locking compression plate). (ijoro.org)
Some fractures may lead to serious complications including a condition known as compartment syndrome. (wikipedia.org)
Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
These are as follows - Immediate complications - occurs at the time of the fracture. (wikipedia.org)
Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
Late complications - occurring a long time after the fracture. (wikipedia.org)
Serious complications of fractures are unusual but may threaten life or limb viability or cause permanent limb dysfunction. (msdmanuals.com)
Risk of complications is high with open fractures (which predispose to infection) and with fractures that disrupt blood vessels, tissue perfusion, and/or nerves. (msdmanuals.com)
Closed fractures that do not involve blood vessels or nerves, particularly those that are quickly reduced, are least likely to result in serious complications. (msdmanuals.com)
The adolescent age group with skeletal immaturity deserves special attention from the surgeons because of grave complications like avascular necrosis of the femur head and angular deformities. (ijrsms.com)
See also the separate Complications from Fractures article. (patient.info)
It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures. (biomedcentral.com)
Flexible intramedullary nailing introduced for femoral fractures by Nancy group in 1982 [ 22 ], has become popular with many orthopaedic surgeons and remains the treatment of choice for these fractures at our institute due to its favourable results and lack of serious complications. (biomedcentral.com)
Immediate complications - occurs at the time of the fracture. (wikipedia.org)

Minimal invasive plate osteosynthesis of comminuted fracture shaft humerus using locking compression plates.Journal of Orthopaedic Surgery. (ditodelhi.com)
It is a mystery how she survived with severely displaced and comminuted (fragmented) fractures of the humerus of her upper right forelimb and the femur of her upper left hind limb. (wm-referrals.com)
Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
The humerus nail cannulated is indicated in diaphyseal fractures of humerus shaft, proximal humerus fractures with diaphyseal extension and impending. (indianorthopaedic.com)

Compound Fracture occurs when the skin around the fractured bone breaks. (almuderis.com.au)
I went to a hospital which is located to near my home and met doctor , after watching my x ray doctor said its a compound fracture nd asked me to have an road fitment surgery. (bigresource.org)

Stable pelvic fractures ( Fig. 15.34 ) do not disrupt the osseous ring formed by the pelvis and sacrum (type 1 injuries) or disrupt it in only one place (type 2 injuries), whereas unstable fractures ( Fig. 15.35 ) completely disrupt the ring in two or more places (type 3 injuries). (radiologykey.com)
An anteroposterior or posteroanterior force vector produces vertically oriented pubic rami fractures and disruption of the pubic symphysis and the sacroiliac joints, resulting in pelvic "dislocation" ("sprung" pelvis or "open book" injury). (radiologykey.com)
His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
A much loved 13-year-old cat called Chalk presented to us at West Midlands Referrals after severe trauma, including a fracture/luxation on the right side of the pelvis and multiple fractures affecting the left side of the pelvis. (wm-referrals.com)
Cup-shaped "socket" that is part of the pelvis and holds the head of the femur to make up the hip joint. (hipeducation.com)

Distal femur fractures are confirmed through X-rays to assess the severity of the injury and any related damage. (almuderis.com.au)
Another common type 1 injury represents a unilateral pubic ramus fracture (usually in the superior ramus) occurring in elderly patients after a fall or prosthetic hip replacement surgery and in athletes as stress fracture. (radiologykey.com)
The likelihood of a second break in the pelvic ring (type 3 injury) increases with a greater degree of joint diastasis or fracture displacement at the primary injury site. (radiologykey.com)
Classification systems of pelvic fractures combining the direction of the force that created the injury with the fracture pattern seen radiographically allow a highly specific injury description and are preferred by orthopedic surgeons ( Table 15.1 ). (radiologykey.com)
Fracture of the transverse process of L5 where the iliolumbar ligament attaches is a harbinger of an unstable pelvic injury. (radiologykey.com)
A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. (wikipedia.org)
Even though emergency department physicians can discriminate clinically between fracture and nonfracture, they order radiographs for most patients with acute knee injury. (aafp.org)
Every bone in the human body is susceptible to a fracture, this is especially the case as we get older and degenerative joint disease sets in or if a patient suffers a traumatic injury or undergoes a severe life-threatening accident with multiple broken bones. (englewoodortho.com)
At Newport Orthopedic Institute, our orthopedic trauma surgeons are experienced in providing comprehensive trauma and fracture care for patients who have experienced a traumatic event such as a fall, accident or injury. (newportortho.com)
If a fracture line is not evident initially (eg, in some nondisplaced fractures), one typically becomes evident about 1 week after the injury as this small amount of bone is resorbed. (msdmanuals.com)
This is a relatively rare injury resulting from dislocation between the femur and tibia. (patient.info)
Pelvic fracture is a common injury in cats after road traffic accidents we see them frequently at West Midlands Referrals. (wm-referrals.com)
A 4-month-old crossbreed presented to us at West Midlands Referrals with an unstable proximal tibial "dome" fracture ten days after the injury. (wm-referrals.com)
There were 53 males (57 fractures) and 16 females (16 fractures) in this series with an average age of 8.3 (range 4-15) years at the time of injury (Table 1 ). (biomedcentral.com)
The development of a tibial nonunion is closely related to the type and severity of the injury, but other factors may play a role, such as degree of fracture comminution, open fracture, degree of soft tissue injury, medical comorbidities, and patient lifestyle (tobacco use, nutritional status, medications). (fortuneonline.org)

When Kim first contacted me, she already had surgery to repair her fractured femur. (justinziegler.net)
If the soft tissues (skin and muscle) around your fracture are badly damaged, or if it will take time before you can tolerate a longer surgery because of health reasons, your doctor may apply a temporary external fixator. (crortho.com)
With most distal femur fractures the surgery can be delayed unless the fracture is open to the environment (break in the skin). (johnfeldmanmd.com)
Most femoral shaft fractures require surgery to heal. (peninsulaboneandjoint.com)
It is unusual for femoral shaft fractures to be treated without surgery. (peninsulaboneandjoint.com)
The rationale behind their use subsequently led to application even in revision arthroplasty with great loss of bone stock, as well as in trauma surgery, for extremely comminuted fractures with poorly vascularized fragments, where traditional osteosynthesis cannot be applied. (openorthopaedicsjournal.com)
Outcomes of Surgical Management of Closed Periprosthetic Distal Femur Fractures above Total Knee Arthroplasties: A Case Series Orthoplastic Surgery. (mayoclinic.org)

Under certain circumstances, radiographic examination of the nearby joints is indicated in order to exclude dislocations and fracture-dislocations. (wikipedia.org)
Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
A coronoid-centric classification system of proximal trans-ulnar fracture-dislocations has almost perfect intraobserver and interobserver agreement. (mayoclinic.org)
Trans-ulnar Fracture Dislocations of the Elbow: A Systematic Review and Clarification of Classification Systems. (mayoclinic.org)

We provide expert orthopedic trauma care for patients with complex fractures throughout the body as well as treating nonunions (fractures that do not heal post-operatively), malunions (improper alignment after a fracture) and in correcting orthopedic deformities. (englewoodortho.com)
Furthermore, in certain complex fractures and sometimes in subtrochantric fractures, with tendency for marked flexion of proximal fragment, closed reduction and its maintenance if often unsuccessful. (biomedcentral.com)
The GPC reconstruction nail (left) are used for complex fractures involving ipsilateral neck and shaft femur fractures. (indianorthopaedic.com)
The GPC reconstruction nail (right) are used for complex fractures involving ipsilateral neck and shaft femur fractures. (indianorthopaedic.com)

As most cases present following a fall or trauma , differentials include tibial plateau fractures , haemarthrosis , or tibial shaft fractures . (teachmesurgery.com)
The osseous structures of the knee include the distal femoral condyles, proximal tibial plateau and patella ( Figure 1 ) . (aafp.org)
Fractures may occur in the patella, femoral condyles or tibial plateau. (aafp.org)

Instead, a plate or rod will be fixed at both ends of the fracture without directly repositioning the numerous small fragments in between. (almuderis.com.au)
In more severe instances, when the fracture is too complicated and the bone quality is too poor to repair, the fragments are removed and the bone is replaced with a knee replacement implant. (almuderis.com.au)
An open fracture is when a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone. (crortho.com)
In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. (wikipedia.org)
A hematoma forms at the fracture site, and a small amount of bone in the distal fracture fragments is resorbed. (msdmanuals.com)
The bottom end that forms part of the knee joint was comminuted (multiple fragments). (wm-referrals.com)
Primary bone defects result from high-energy trauma, which can produce an open fracture with extensive soft tissue damage, osseous comminution and even extrication of bone fragments. (fortuneonline.org)

Pediatric femoral fractures are injuries that may involve the proximal femur, the femoral shaft, or the distal femur. (medscape.com)
In the treatment of these injuries, it is important to keep in mind that pediatric femur fractures differ from adult femur fractures in several key respects (see below), and these differences affect management. (medscape.com)
These fractures can sometimes be accompanied by other injuries due to the forceful nature of the impact. (almuderis.com.au)
In the elderly, weakened and fragile bones due to degeneration can lead to distal femur fractures even with lower-force injuries, like a fall from standing. (almuderis.com.au)
Type 1 injuries include avulsion fractures that occur at tendinous attachment sites, such as the anterosuperior and anteroinferior iliac spines, ischial tuberosity, and iliac crest. (radiologykey.com)
Type 2 injuries (single break in the pelvic ring) include ipsilateral fractures of the superior and inferior pubic (ischiopubic) rami, fracture of the pubic body adjacent to the symphysis, subluxation of one sacroiliac joint ( Fig. 15.37 ) or the pubic symphysis, and a fracture paralleling the sacroiliac joint ( Fig. 15.38 ). (radiologykey.com)
Type 3 injuries (double breaks in the pelvic ring) include straddle fractures (vertical fractures of both superior pubic and ischiopubic rami or unilateral vertical rami fractures associated with symphyseal diastasis) ( Fig. 15.39 ) and injuries with complete disruption of both the anterior and posterior pelvic ring (e.g. (radiologykey.com)
Pelvic fractures are frequently associated with severe soft tissue injuries, including vascular lacerations, compression or disruption of peripheral nerves, and perforation of the urinary bladder, urethra, rectosigmoid, and anus. (radiologykey.com)
Distal femur fractures most often occur either in older people whose bones are weak, or in younger people who have high energy injuries, such as from a car crash. (crortho.com)
Distal femur fractures in younger patients are usually caused by high energy injuries, such as falls from significant heights or motor vehicle collisions. (crortho.com)
He went through 6 months of post open treatment for a comminuted distal femur fracture and dealt with several other injuries. (modestopersonalinjurylawyerblog.com)
This article briefly reviews the anatomy of the knee joint as well as the most common knee fractures and ligament injuries. (aafp.org)
Distal femur fractures may be caused by high energy injuries such as a fall from a height or a motor vehicle accident. (johnfeldmanmd.com)
The diagnosis of a distal femur fracture is based on the patient's medical history including history of any previous injuries, a complete physical examination and imaging studies. (johnfeldmanmd.com)
The trauma and fracture orthopedic surgeons at Newport Orthopedic Institute offer expert care for all aspects of traumatic musculoskeletal injuries, including inpatient and outpatient orthopedic surgical care and rehabilitation. (newportortho.com)
Patients with open fractures, polytrauma and neurovascular injuries were excluded. (ijrsms.com)

[ 2 - 4 ] The management of shaft femur fractures is age dependent. (ijrsms.com)

The lower part of the thigh bone (femur) forms the upper part of the knee joint, while the top part of the shinbone (tibia) supports the lower part of the knee joint. (almuderis.com.au)
The femur or thigh bone is the longest and strongest bone in the body, connecting the hip to the knee. (johnfeldmanmd.com)
The distal femur refers to the lower part of the thigh bone which flares out like an upside-down funnel and its lower end is covered by a smooth, slippery articular cartilage that protects and cushions the bone during movement. (johnfeldmanmd.com)
The distal femur is the lower part of the thigh bone which flares out like an upside-down funnel and its lower end is covered by a smooth, slippery articular cartilage that protects and cushions the bone during movement. (richardyoonmd.com)
A hip fracture or proximal femur fracture is a break in the proximal end of the thigh bone near the hip. (richardyoonmd.com)
Fracture through the weaker cartilage growth plate that is situated at the end of the femur (thigh bone) is relatively common in juvenile cats. (wm-referrals.com)
Pablo, a cat, presented to us at West Midlands Referrals with a tricky femur fracture (thigh bone). (wm-referrals.com)
A condition that results from having an incorrectly shaped femur (thigh bone) or acetabulum (socket). (hipeducation.com)
An area of the femur (thigh bone) just below the femoral head, which serves as the "ball" portion of the ball-and-socket hip joint. (hipeducation.com)

This applies to stable or unstable types, and in traumatic and pathologic fractures. (sharmaortho.com)
Pathologic fractures occur when mild or minimal force fractures an area of bone weakened by a disorder (eg, osteoporosis, cancer, infection, bone cyst). (msdmanuals.com)

The Current Procedural Terminology (CPT ® ) code 27424 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Femur (Thigh Region) and Knee Joint. (aapc.com)
Distal femur fractures occur when the thighbone (femur) breaks just above the knee joint. (almuderis.com.au)
In younger patients, these fractures can result from high-energy impacts like car crashes, often leading to breaks that extend into the knee joint and shatter the bone into multiple pieces. (almuderis.com.au)
Intra-articular Fractures extend into the knee joint and separate the bone's surface into multiple pieces. (almuderis.com.au)
If the fracture has fragmented the bone into many small pieces above the knee joint, it is generally not pieced back together. (almuderis.com.au)
Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. (crortho.com)
Sometimes these fractures extend into the knee joint and separate the surface of the bone into a few (or many) parts. (crortho.com)
A distal femur fracture is a break in the thighbone that occurs just above your knee joint. (johnfeldmanmd.com)
The proximal femur makes up one side of the hip joint, while the distal femur makes up one side of the knee joint. (hipeducation.com)

The classification is commonly used to classify distal femur fractures into extra-articular (type A), partial articular (type B), and complete articular (type C). (teachmesurgery.com)
Doctors describe fractures to each other using classification systems. (peninsulaboneandjoint.com)

The main fracture pathoanatomy of these cases included: The anterior fracture line passed along the intertrochanteric line to the medial lesser trochanter and bisected it into two equal parts from mid-level of the lesser trochanteric protrusion. (researchsquare.com)
Two-part intertrochanteric femur fractures with bisection of the lesser trochanter were first reported by Moehring et al. (researchsquare.com)
The intertrochanteric fracture with a bisected lesser trochanter had the following pathoanatomical features: the main trochanter fracture line crossed the lesser trochanter and split it into two parts almost equally. (researchsquare.com)
This device is suitable for fracture management of the intertrochanteric, pretrochanteric, and subtrochanteric areas. (sharmaortho.com)
Cephalomedullary Nailing of Unstable Geriatric Intertrochanteric Fractures on a Traction Table Combined With Percutaneous Reduction Techniques Is Safe and Results in a Low Rate of Cutout. (mayoclinic.org)
Risk factors for cut-out failure of Gamma3 nails in treating unstable intertrochanteric fractures: An analysis of 176 patients. (gov.tw)
The intra HEAL Proximal Hip Stabilizing Nail is indicated in intertrochanteric fractures of femur. (indianorthopaedic.com)

One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
The GPC tibial nail is indicated in open & closed tibial shaft fractures, tibial malunion and nonunions. (indianorthopaedic.com)

In general, simple fracture configurations, with minimal displacement and located within the diaphysis in young patients can potentially be adequately splinted if they are distal to the elbow or stifle. (vin.com)
Distal femur fractures typically occur for different reasons in younger patients (under 50) and the elderly. (almuderis.com.au)
In younger patients, high-energy impacts such as falls from heights or car accidents often result in fractures. (almuderis.com.au)
In cases where the fracture may heal slowly, such as in elderly patients with poor bone quality, a bone graft may be used to facilitate the formation of the callus. (almuderis.com.au)
They occur both in younger patients (as the result of high energy trauma) or in older patients (from low energy trauma as a pathological fracture secondary to osteoporosis or malignancy). (teachmesurgery.com)
Patients with distal femoral fractures of all ages do best when they can be up and moving soon after treatment (such as moving from a bed to a chair, and walking). (crortho.com)
A total of 90 patients were studied, out of which 60 patients were with fracture distal femur and 30 patients were with proximal tibia fractures. (ijoro.org)
Out of 44 patients of distal femur fracture group 10 (22.72%) had infection where as in proximal tibia fracture group 4 (15.38%) out of 26 patients (all were operated by ORIF technique) had infection. (ijoro.org)
Varus deformity was found in 3 patients (6.66%) of distal femur fracture patients and 4 patients (15.38%) of proximal tibia fracture patients out of these 3 were operated by ORIF and 1 by MIPO. (ijoro.org)
Muscle wasting was found in 20 patients (40.44%) of distal femur fracture patients. (ijoro.org)
Limb shortening was found in 7 patients (15.90%) of distal femur fracture. (ijoro.org)
Limp shortening was present in 17 patients (38.60%) of distal femur fracture and 4 patients (15%) of proximal tibia fracture out of these 4 were operated by ORIF and 1 by MIPO. (ijoro.org)
Delayed Union was found in two patients (4.54%) of distal femur fracture patients. (ijoro.org)
Extension lapse was found in four patients (9.09%) of distal femur fracture and 1 patient (5.88%) of proximal tibia fracture. (ijoro.org)
Radiographs of injured knees are commonly ordered, even though fractures are found in only 6 percent of such patients and emergency department physicians can usually discriminate clinically between fracture and nonfracture. (aafp.org)
6 , 7 This situation persists despite the absence of clear supporting data and the fact that only 6 percent of patients with knee trauma have a fracture. (aafp.org)
In this podcast, James talks with Dr Nicholas Maluga about the initial fracture assessment and management priorities for patients with trauma and fractures. (onthewards.org)
It is essential to have a basic understanding of initial assessment and the management priorities in patients with trauma and fractures. (onthewards.org)
Patients with osteoporosis, bone tumors or infections, or a history of knee replacement are more prone to femur fractures. (johnfeldmanmd.com)
Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.org)
The aim of this study is to report the outcome of an adolescent femur shaft fracture treated with a rigid intramedullary interlocking nail in North Indian patients. (ijrsms.com)
Appropriate splinting will assist with haemodynamic control as well as providing an analgesic affect, but remember that all patients with confirmed or highly suspected femoral fractures should have early consideration for regional analgesia (femoral nerve block, FNB or fascia iliaca block, FIB), upon arrival in the ED. (nsw.gov.au)
compressive fractures of the articular surface, typically from extreme force such as fall from a height or being hit by a vehicle, although in patients with osteoporosis minimal force may be needed. (patient.info)
Initial femoral stem position in cementless bipolar hemiarthroplasty for femoral neck fracture in elderly patients is associated with early implant subsidence: a radiographic analysis. (gov.tw)
Present indications include all patients with femoral shaft fractures and open physis. (biomedcentral.com)
We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. (biomedcentral.com)
On retrospective search of hospital records, we found 81 patients of femoral shaft fractures treated with flexible intramedullary nailing at our institute with a minimum follow up period of 5 years. (biomedcentral.com)
All patients with open fractures, pathological fractures, metabolic bone disease or neuromuscular disorders were excluded from search. (biomedcentral.com)
Of these 81 patients, 69 patients with 73 femoral shaft fractures were available for follow up. (biomedcentral.com)
It is indicated for the treatment of subtrochanteric fractures and of femoral shaft fractures, in pediatric patients, with the exception of newborns and infants, and in adult patients with an appropriate medullary canal. (limbhealing.com)

Non-operative management requires a long period of immobilisation and non-weight bearing, however is sometimes indicated for fractures with minimal displacement in a non-ambulatory or very co-morbid patient. (teachmesurgery.com)

Jose E, Singaravadivelu V, Anandan DS, Sailesh SS, Senguttuvan C. Does Dual Plating for Distal Femur Fractures with Metaphyseal Comminution Results in Increased Stability and Early Fracture Healing: A Prospective Randomized Control Study. (jojs.in)
The treatment of distal femur fractures with metaphyseal comminution is often complicated by nonunion, varus collapse, and implant failure. (jojs.in)
The inclusion criteria were all distal femur fractures with metaphyseal comminution. (jojs.in)
Dual plating for distal femur fractures with metaphyseal comminution results in an early radiological union and early weight bearing and allows an early return to work. (jojs.in)

Krettek C, Tscherne H. Transarticular joint reconstruction and Indirect Plate Osteosynthesis for complex distal supracondylar femoral fractures. (ijoro.org)
The Supracondylar Nail is indicated for the stabilization of fractures of the distal femur. (sharmaortho.com)
The GPC supracondylar nail is used for supracondylar fracture of femur. (indianorthopaedic.com)

Humeral Nail (Helical Blade) System permits indirect reduction of diaphyseal fractures and approximation of metaphyseal fractures. (sharmaortho.com)
The New Antegrade Femur Nail design accommodates a lateral entry site through the greater trochanter and fit anatomically in the medullary canal and allows indirect reduction. (sharmaortho.com)
ELEGANT® Multi Locking Tibia Nail provide innovative locking options, in combination with cancellous bone locking screws, increase the stability of the proximal fragment for proximal third fractures. (sharmaortho.com)
Universal Femur nail presented as solid and cannulated nail, steel or titanium with two holes for fixed distal locking and two for proximal locking, one of them fixed and the other dynamic. (sharmaortho.com)
The Agile Nail is intended for insertion in the medullary canal of a femur for the alignment and the stabilization of fractures and for the correction of deformities. (limbhealing.com)
The GPC undreamed femoral nail is used for open fracture of femur (Grade 1&2). (indianorthopaedic.com)
The GPC Unreamed Humeral Nail is indicated in open fractures of humeral shaft. (indianorthopaedic.com)
The GPC Multi-angle locking tibial nail is indicated in tibial shaft fractures, metaphyseal fractures and pilon fractures of tibia. (indianorthopaedic.com)

On examination, there may be an obvious deformity , with associated swelling and ecchymosis of the distal thigh. (teachmesurgery.com)

Fractures of the distal femur most commonly occur in two patient types: younger people (under age 50) and the elderly. (crortho.com)
Elderly people with distal femur fractures typically have poor bone quality. (crortho.com)
In the elderly, even a simple fall from a standing position may result in a fracture as the bones tend to become weak and fragile with advancing age. (johnfeldmanmd.com)

Distal femur fractures are fractures extending from the distal metaphyseal-diaphyseal junction of the femur to the articular surface of the femoral condyles. (teachmesurgery.com)
Two state of the art medio-lateral (ML) locking options enable primary compression or secondary controlled dynamization and indicated for fractures in the tibial shaft as well as for metaphyseal and certain intraarticular fractures of the tibial head and the pilon tibiale. (sharmaortho.com)

Transverse Fractures occur when the bone breaks straight across the femur. (almuderis.com.au)
A lateral force vector characteristically causes transverse fractures of the pubic rami, vertical compression fractures of the sacrum, and fractures of the iliac wings, as well as pelvic instability caused by rotation of one or both hemipelvises (rotational instability). (radiologykey.com)

These fractures occur commonly in children before closure of the corresponding physis (cartilage plate) and athletes secondary to forcible muscular contraction. (radiologykey.com)
Soft tissue infection or osteomyelitis may occur with open fractures. (patient.info)
Nonunions are estimated to occur in 2% to 15% of all tibial fractures. (fortuneonline.org)

Fracture patterns included transverse (49), oblique (21), and communited (3) fractures. (biomedcentral.com)

Knee fracture can result in neurovascular compromise or compartment syndrome. (patient.info)

It can also be used for diaphyseal fractures in which a retrograde approach is indicated (e.g. ipsilateral tibia and/or patella fractures, proximal or distal endoprosthesis, adipositas permagna). (sharmaortho.com)

Iliac Crest Allograft with Plate Osteosynthesis for a Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Donor-Site Fracture: A Case Report. (mayoclinic.org)
Yang TC, Tzeng YH, Wang CS, Lin CC, Chang MC, Chiang CC (2019, Oct). Are proximal screws necessary for osteosynthesis of stable-stem periprosthetic femoral fractures fixed with non-locking plate and cable? (gov.tw)

these fractures are often called insufficiency or fragility fractures. (msdmanuals.com)

These fractures are more common in older individuals with weaker bones. (almuderis.com.au)
A lower-force event, such as a fall from standing, can cause a distal femur fracture in an older person who has weak bones. (crortho.com)
Surgical treatment is considered to realign the fractured bones. (johnfeldmanmd.com)
The main goal of Englewood Orthopedic Associates is the healing of the fractured bones, as well as restoring the anatomic alignment of the joint surfaces to allow for recovery and return to maximum function and movement of the injured body part. (englewoodortho.com)
This fracture involved the growth plate, the cartilage zone from which bone grows and which appears as a black line on X-rays near the ends of the long bones in growing dogs. (wm-referrals.com)
This cat had a fracture-luxation between the metatarsal bones and the tarsal bones (bones of the foot and of the ankle respectively). (wm-referrals.com)

Radiographic and clinical results of modified 2-incision sinus tarsi approach for treatment of calcaneus fracture. (gov.tw)

Comminuted Fractures result from the bone breaking into many pieces. (almuderis.com.au)

Both of these methods can be performed through a single larger incision or multiple smaller ones, depending on the type and severity of the fracture. (almuderis.com.au)
Multiple X-rays and other imaging studies such as CT and MRI scans may be used to identify the location and severity of the fracture. (johnfeldmanmd.com)
The management of these type of fractures is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (johnfeldmanmd.com)
The management of the fracture is based on the severity of the fracture, medical condition of the patient and the patient's lifestyle. (richardyoonmd.com)

Delayed union and non-union can result from a lack of adequate fracture stability. (vin.com)
Pelvic fractures must be assessed for both stability and acetabular involvement. (radiologykey.com)

Sanders R, Swiontkowski M, Rosen H, Helfet D. Double-plating of comminuted, unstable fractures of the distal part of the femur. (ijoro.org)

What are the surgical options for Compound Distal Femur Fracture? (almuderis.com.au)
To introduce the clinical features of and surgical techniques for a rare type of irreducible pertrochanteric femur fracture pattern with bisection of the lesser trochanter. (researchsquare.com)
Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. (ijoro.org)
Non-surgical treatment comprises of immobilizing the fractured site with the help of a cast or brace to prevent weight bearing and to help the healing process. (johnfeldmanmd.com)
Current CORIT research programs include: (1) Development new mitigation strategies for prevention of prosthetic joint infections, (2) The prevention and treatment of periprosthetic fractures, (3) Quantifying and enhancing surgical skills through computer-assisted and robotic technologies, and (4) Biomechanical simulation and optimization of orthopaedic procedures. (uth.edu)

The accepted standard of treatment is lateral plating with a distal femur-locking compression plate. (jojs.in)
We compared the radiological and functional outcome of these fractures following dual plating and lateral plating. (jojs.in)
A double-plating approach to distal femur fracture: a clinical study. (jojs.in)
Imam MA, Torieh A, Matthana A. Double plating of intra-articular multifragmentary C3-type distal femoral fractures through the anterior approach. (jojs.in)
New technique for treatment of unstable distal femur fractures by locked double plating: case report and biomechanical evaluation. (ijoro.org)
While medial and lateral dual plating has been described in clinical series, the biomechanical effects of dual plating of distal femur fractures have yet to be clearly defined. (stanford.edu)

While many fractures can be treated by general orthopedic surgeons, some can benefit from fracture specialists such as Newport Orthopedic Institute's trauma and fracture care team. (newportortho.com)

In the unstable jumper's fracture ( Fig. 15.41 ), dissociation of the central portions of the sacrum from its lateral portions occurs by bilateral vertical sacral fractures, most commonly through the neural foramina representing the weakest points in the sacrum. (radiologykey.com)
Partial articular fractures can be further classified into sagittal fractures of lateral condyle, sagittal fractures of medial condyle, and coronal fractures. (teachmesurgery.com)
Addition of a Medial Locking Plate to an In Situ Lateral Locking Plate Results in Healing of Distal Femoral Nonunions. (jojs.in)
AP and lateral views of entire femur. (nsw.gov.au)
this is an avulsion fracture of the lateral tibial condyle immediately beyond the articular surface with the knee. (patient.info)

Rehabilitation of the distal femur fracture depends upon several factors such as age, general health of the patient and the type of fracture. (johnfeldmanmd.com)
In this type of fracture, the break is a straight horizontal line going across the femoral shaft. (peninsulaboneandjoint.com)
This type of fracture has an angled line across the shaft. (peninsulaboneandjoint.com)
A twisting force to the thigh causes this type of fracture. (peninsulaboneandjoint.com)
In this type of fracture, the bone has broken into three or more pieces. (peninsulaboneandjoint.com)

10 ] reported four kinds of irreducible fractures, including a type in which the proximal fragment attached to a lesser trochanter was locked underneath the shaft fragment, bisected lesser trochanter with a locked proximal fragment, a posteromedial fragment overlapped at the fracture site, and a proximal fragment was flexed passively by the underlying lesser trochanter. (researchsquare.com)

These cases are defined as irreducible fracture patterns, and some form of open reduction with the insertion of a device is used in these cases. (researchsquare.com)
It is also important to look for any evidence of an open fracture , which occurs in 5-10% of cases. (teachmesurgery.com)
Any evidence of an open fracture needs to be managed accordingly. (teachmesurgery.com)
Distal femur fractures can be closed - meaning the skin is intact - or can be open. (crortho.com)
Open fractures often involve much more damage to the surrounding muscles, tendons, and ligaments. (crortho.com)
Most distal femur fractures are not operated on right away - unless the skin around the fracture has been broken (open fracture). (crortho.com)
Open fractures expose the fracture site to the environment. (crortho.com)
The pieces of bone may line up correctly or be out of alignment (displaced), and the fracture may be closed (skin intact) or open (the bone has punctured the skin). (peninsulaboneandjoint.com)
DeBaun MR, Goodnough LH, Hidden KA , Nork SE, Kleweno CP, Hebert-Davies J. Type III Open Tibia Fractures Treated With Single-Stage Immediate Medullary Nailing and Attempted Primary Closure Yield Low Rates of Flap Coverage. (mayoclinic.org)
A procedure performed to set (reduce) the ends of a fractured bone back into place without cutting the skin open to reveal the bone. (hipeducation.com)
The GPC unreamed tibial nails are indicated in Grade 1&2 open tibial fractures, high energy unstable closed fractures and comminuted. (indianorthopaedic.com)

Pelvic fractures are commonly referred. (wm-referrals.com)

Anatomy17

Diseases40

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment34

Phenomena and Processes11

Disciplines and Occupations1

Anthropology, Education, Sociology and Social Phenomena2

Technology, Industry, Agriculture1

Information Science1

Health Care10

Geographicals1

Fixation31

Femoral shaft fracture7

Complications18

Humerus4

Compound Fracture2

Pelvis5

Injury15

Surgery7

Dislocations4

Complex fractures4

Tibial plateau3

Fragments7

Injuries16

Shaft femur fractures1

Thigh bone9

Pathologic2

Knee Joint9

Classification2

Intertrochanteric7

Malunion2

Patients30

Displacement1

Comminution4

Supracondylar3

Nail8

Deformity1

Elderly3

Metaphyseal2

Transverse Fractures2

Occur3

Oblique1

Neurovascular1

Ipsilateral1

Osteosynthesis2

Fragility Fractures1

Bones6

Calcaneus Fracture1

Bone breaking into ma1

Severity of the fracture4

Stability2

Unstable fractures1

Surgical5

Plating6

Trauma and Fracture Care1

Lateral5

Type of fracture5

Proximal fragment1

Open11

Commonly1