2 femur supracondylar fractures dnbid lecture
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Transcript of 2 femur supracondylar fractures dnbid lecture
Supracondylar fractures of
FemurDr. D. N. Bid
Extra-articular supracondylar # of the femur within the metaphyseal
region of the distal femur with
comminution
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Intra-articular unicondylar # of the
distal femur with displacement of one
condyle.
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Intra-articular bicondylar # of the distal femur
involving both condyles.
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Extra-articular type A supracondylar femoral # within the metaphyseal
region of the distal femur with comminution. Note the
displacement of the metaphyseal region of the
distal femur and shortening at the # site. This # requires
open reduction and Internal fixation.
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Supra-condylar # of the femur in an elderly
patient. This # usually results from low energy
trauma, such as a fall, and represents a bicondylar #
of the distal femur. It requires open reduction
and internal fixation.
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Bicondylar # of the distal
femur
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Bicondylar # of the distal femur treated
with a 95-degree dynamic compression
screw and plate.
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Bicondylar # of the distal femur, treated with a 95-
degree dynamic compression screw and plate. Note the
restoration of length with the use of the long plate device
and filling of the metaphyseal defect with bone grafts.
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Comminuted intraarticular # of the distal femur
involving both condyles treated with a 95-degree
condylar blade plate.
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Zickel supracondylar device.
Used infrequently , this gives three point fixation for
supracondylar femoral #s to provide stability.
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Ender’s nail for the treatment of a supracondylar femoral #.
This device does not provide rigid fixation and is not commonly used.
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Extraarticular supracondylar # of the distal femur.
Note the lack of metaphyseal
comminution and posterior
displacement of the distal fragment
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Closed reduction of a transverse extraarticular supracondylar femoral # with
traction, performed under
general anesthesia.
Surprisingly, this # responded well to closed reduction
and casting.12/4/2008 14dnbid