Oct, 2017 supracondylar femur fractures require anatomically stable internal fixation for best results, which usually necessitates surgical treatment. Supracondylar femur fractures orthopaedicsone articles. These fractures usually occur in elderly patients with multiple comorbidities and osteoporotic bone. Fracture du condyle mandibulaire dr barriere chirurgie. Total knee replacement surgery is occasionally complicated by a supracondylar periprosthetic fracture, and this presents a challenging problem in an often frail population. Prise en charge des fractures fermees supracondyliennes. The normal anatomic axis of the distal femur is 6 to 7 degrees of valgus in a male and 8 to 9 degrees in a female. Distally, the lateral and medial condyles articulate with the tibial plateau of the tibia forming the. There is no consensus on what would be the ideal treatment for such cases. The femur, also known as the thigh bone, is the longest bone in the body.
In elderly patients, they are invariably lowenergy fractures predisposed to by osteoporosis. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. Multiple nonoperative and operative treatments have been described which have the aim of restoring the patient to their preinjury status. Fracture extremite inferieure du femur epidemiologie clinique. Anterior to the supracondylar area of the distal humerus is the median nerve. In the proximal forearm, the anterior interosseous branch separates to innervate the flexor profundus to the index finger and the flexor pollicis longus and then terminates with the innervation of the pronator quadratus. Supracondylar periprosthetic femoral fractures following.
Retrograde femoral nailing in elderly patients with. This study looks at the results of retrograde femoral. Fracture condylienne plan introduction 1 epidemiologie. Les fractures du femur distal sont des fractures rares et graves. Extremite inferieure femur fracture supracondylienne. Ppt les fractures du femur powerpoint presentation free.
Article original fractures unicondylienne du femur. Retrograde femoral nailing in elderly patients with supracondylar fracture femur. It take a great deal of force to break the thigh bone. Memoire online prise en charge des fractures du femur par. The femur is the largest and strongest bone in the body. Les fractures unicondyliennes du femur sont des lesions rares.
The incidence of supracondylar fracture after total knee arthroplasty is approximately 1%. If treated quickly, either by immobilizing with a cast or by surgery, the. Open reduction and internal fixation surgery is typically used to repair an osteochondral fracture. Supracondylar fractures of femur constitute 7% of all femoral fractures.
Scribd is the worlds largest social reading and publishing site. Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. Pdf retrograde femoral nailing in elderly patients with. A free powerpoint ppt presentation displayed as a flash slide show on id. A fracture that occurs at the distal end of the femur bone, which includes the femoral condyles and the metaphysis. Treatment of these fractures in the elderly is a challenging task for most orthopaedic surgeons.
Supracondylar fracture of the humerus is a common childhood injury to the elbow. Ttt orthopedique babp 6 semaines ttt chirurgical sinon fracture du condyle lateral mecanisme indirect. Typically, the condyle will fracture and the patella may dislocate as a result of severe impaction from activities such as downhill skiing and parachuting. There are different kinds of breaks, from simple to serious. Maitrise orthopedique articles fracture femorale sur. The osteochondral fracture occurs on the weightbearing portion of the lateral condyle. The lateral cortex of the femur has a 10 degree slope, and the medial cortex slopes 25 degrees. Paru dans le numero n91 fevrier 2000 article consulte 15923 fois. Complications of supracondylar fractures of the elbow. Rupture du tendon rotulien avec fracture fermee distale du.
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