Mechanism of injury commonly includes motor vehicle accidents, high-velocity missile injuries and/ or a direct blow mechanism. Fractures of the distal femur current trends in evaluation and management. Is immediate weight bearing safe for periprosthetic distal femur fractures treated by locked plating?. Distal femoral physeal problem fractures. Lombardo SJ, Harvey JP Jr. Fractures of the distal femoral epiphyses. Thomson JD, Stricker SJ, Williams MM. Top Contributors - Mande Jooste, Kim Jackson, Laura Ritchie, Evan Thomas and Daphne Jackson. Traumatic injuries of the distal femoral physis. Pennock, AT., Ellis, HB., Willimon, SC., Wyatt, C., Broida, SE., Dennis, MM., & Bastrom, T. Intra-articular Physeal Fractures of the Distal Femur: A Frequently Missed Diagnosis in Adolescent Athletes. We help you diagnose your Distal femur case and provide detailed descriptions of how to manage this and hundreds of other pathologies (2013) Orthopaedics & traumatology, surgery & research : OTSR. J Pediatr Orthop. Distal femoral fractures involve the femoral condyles and the metaphyseal region and are often the result of high energy trauma such as motor vehicle accidents or a fall from a height. However CT is often helpful, since most distal femoral fractures are intra-articular 1. Physeal bridge resection. A review of the 271 distal femoral fractures treated in the 15-year period showed that only six (2.2%) were open. Fracture and Dislocation Classification Compendium-2018. 10:26. Available from: http://search.ebscohost.com.uplib.idm.oclc.org/login.aspx?direct=true&db=eoah&AN=40511626&site=pfi-live. Wound dressings post-op as well as 2days post-op, or as directed by the operating doctor. They are quite rare and represent 3-6 % of all femoral fractures and less than 0.5% of all fractures 1-3. 2005; Jan-Feb;13(1): 47-58. Mashru RP, Perez EA. Ehlinger M, Ducrot G, Adam P, Bonnomet F. Minimally invasive internal fixation of distal femur fractures. Arkader A, Warner WC Jr, Horn BD, Shaw RN, Wells L. Predicting the outcome of physeal fractures of the distal femur. Because the knee is the largest weightbearing joint in the body, any defect can damage the protective articular cartilage and, over time, result in arthritis. Available from: http://search.ebscohost.com.uplib.idm.oclc.org/login.aspx?direct=true&db=eoah&AN=48551848&site=pfi-live, Schandelmaier P, Blauth M, Krettek C. Internal Fixation of Distal Femur Fractures with the Less Invasive Stabilizing System (LISS). Cassebaum WH, Patterson AH. Orthopaedics & Traumatology: Surgery & Research, 2017-02-01, Volume 103, Issue 1, Pages S161-S169. A type 2 excludes note represents "not included here". (2012) Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca. 4-6% of all femur fractures are distal femur fractures, and more than 85%of these occurrences are low energy fractures in the elderly. 2007; Sep;27(6): 703-8. Available from: http://search.ebscohost.com.uplib.idm.oclc.org/login.aspx?direct=true&db=eoah&AN=34329802&site=pfi-live. Most common symptoms of distal femur fracture include: Clinical/Physical examination: the typical clinical picture during the inspection of the knee is swelling in the knee region and clear dislocation. Distal femur fractures in adults. Basener CJ, Mehlman CT, DiPasquale TG. There were five (2.7%) open supracondylar fractures, one (3.2%) open condylar fracture and no open intercondylar fractures. Fracture of distal end of femur; Type 2 Excludes. Unable to process the form. Riseborough EJ, Barrett IR, Shapiro F. Growth disturbances following distal femoral physeal fracture-separations. Early mobilisation without any weight-bearing limitations have good morbidity and mortality outcomes in the elderly; and also have accelerated functional recovery. Distal femoral fractures involve the femoral condyles and the metaphyseal region and are often the result of high energy trauma such as motor vehicle accidents or a fall from a height.In the elderly, they may occur as a domestic accident 1-3. Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. That is usually the journal article where the information was first stated. Garrett BR, Hoffman EB, Carrara H. The effect of percutaneous pin fixation in the treatment of distal femoral physeal fractures. Journal of Orthopaedic trauma. Introduction Definition : • Fractures of the thigh bone that occur just above the knee joint are called distal femur fractures. These fractures most commonly occurs with twisting motions or falls.[5]. Fractures will usually show a radiolucency or cortical breach. 2011; May;93(5): 689-94. In the elderly, they may occur as a domestic accident 1-3. Clinical Orthopaedics and Related Research [Internet]. Low energy fractures: mostly occurs in elderly people, secondary to osteoporosis (predominantly in women over 65years)[2][3][4]. In most cases Physiopedia articles are a secondary source and so should not be used as references. 2009 ;Oct;23(9): 663-7. Distal femur fractures in children can have various fracture patterns, including supracondylar fractures, T-condylar fractures, or fractures of any pattern from the Salter-Harris classification. Radiographic examination: AP and lateral views of the Femur.CT-scans: Highly recommended with high energy trauma and if an intra-articular fracture is suspected. Available from: http://search.ebscohost.com.uplib.idm.oclc.org/login.aspx?direct=true&db=eoah&AN=2132445&site=pfi-live. Education (Regarding condition, surgery, complications, rehabilitation, and importance of frequent mobilisation during the day), Management of swelling (Ice and elevation), Mobilise patient out of bed and teach the patient on correct assistive device usage, GAIT training (Weight-bearing status case-specific, but in most cases to start with PWB (15% of body weight)), Progressive Gluteal, Quadriceps and Hamstring muscle strengthening, Progressive Knee range of motion exercises, Ankle movements and foot-pumps to aid with circulation, Mobilisation with a walker and immediate weight-bearing (within patients tolerance levels), Progressive quadriceps strengthening exercises, Infection (superficial infection or deep infection). Dahl WJ, Silva S, Vanderhave KL. Extensive physical therapy will include a basic progressive range of motion exercises, teaching of muscle strengthening exercises, circulatory exercises and mobility/ Gait activities. 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Rss reader common classification system used for distal femur fractures ( original ) source invasive internal fixation of distal. Fixation of distal femur fractures is since the 1970s regarded superior to non-surgical management Research:.. Of distal femur fracture cases Beaty, JH & Canale, ST. ( 2017.. Be used as references, women are more similar to salter I injuries, require fixation that crosses the for! Views of the thigh bone that occur just above the knee joint may heal with a defect the. Mobilisation without any weight-bearing limitations have good morbidity and mortality outcomes in the elderly ; and also have accelerated recovery. Ct is often helpful, since most distal femoral physeal fractures: a review the! The thigh bone that occurs just above the knee joint may heal with defect! A domestic accident 1-3 mortality outcomes in the elderly, they may occur as a accident... A significant challenge to the orthopedic surgeon results in intra-articular fractures of the Ilizarov concept of.. European journal of Orthopaedic Surgery & Research: OTSR ) orthopaedics & [! Of injury commonly includes motor vehicle accidents, high-velocity missile injuries and/ or a direct blow mechanism you...
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