It take a great deal of force to break the thigh bone. The lateral cortex of the femur has a 10 degree slope, and the medial cortex slopes 25 degrees. Typically, the condyle will fracture and the patella may dislocate as a result of severe impaction from activities such as downhill skiing and parachuting. In elderly patients, they are invariably lowenergy fractures predisposed to by osteoporosis. The site of fracture was middle third of the shaft of femur 47. The osteochondral fracture occurs on the weightbearing portion of the lateral condyle. Il sagit volontiers dune fracture en coxa vara fermant langle cervicodiaphysaire. The incidence of supracondylar fracture after total knee arthroplasty is approximately 1%.
This study looks at the results of retrograde femoral. Pdf retrograde femoral nailing in elderly patients with. Complications of supracondylar fractures of the elbow. Ttt orthopedique babp 6 semaines ttt chirurgical sinon fracture du condyle lateral mecanisme indirect. Les fractures unicondyliennes du femur sont des lesions rares. If treated quickly, either by immobilizing with a cast or by surgery, the. Rupture du tendon rotulien avec fracture fermee distale du. A free powerpoint ppt presentation displayed as a flash slide show on id. There is no consensus on what would be the ideal treatment for such cases. Les fractures du femur distal sont des fractures rares et graves. These fractures usually occur in elderly patients with multiple comorbidities and osteoporotic bone.
Supracondylar femur fractures orthopaedicsone articles. Open reduction and internal fixation surgery is typically used to repair an osteochondral fracture. Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. Les fractures unicondyliennes du femur distal sciencedirect.
Ppt les fractures du femur powerpoint presentation free. Extremite inferieure femur fracture supracondylienne. Retrograde femoral nailing in elderly patients with supracondylar fracture femur. Distally, the lateral and medial condyles articulate with the tibial plateau of the tibia forming the. 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. 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. Supracondylar soopruhkondehlahr femoral fracture also called distal distuhl femur fracture is when the thigh bone breaks at the knee. Supracondylar fractures of femur constitute 7% of all femoral fractures.
Prise en charge des fractures fermees supracondyliennes. Fracture unicondylienne laterale sagittale du femur associee a une. Treatment of these fractures in the elderly is a challenging task for most orthopaedic surgeons. Femur distal, fracture sus et intercondylienne, epidemiologie des fractures du femur distal. The femur, also known as the thigh bone, is the longest bone in the body. There are different kinds of breaks, from simple to serious. Scribd is the worlds largest social reading and publishing site.
Retrograde femoral nailing in elderly patients with. Anterior to the supracondylar area of the distal humerus is the median nerve. Supracondylar fracture of the humerus is a common childhood injury to the elbow. Maitrise orthopedique articles fracture femorale sur. 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. Article original fractures unicondylienne du femur.
Oct, 2017 supracondylar femur fractures require anatomically stable internal fixation for best results, which usually necessitates surgical treatment. Multiple nonoperative and operative treatments have been described which have the aim of restoring the patient to their preinjury status. Supracondylar periprosthetic femoral fractures following. Paru dans le numero n91 fevrier 2000 article consulte 15923 fois. A fracture that occurs at the distal end of the femur bone, which includes the femoral condyles and the metaphysis. Memoire online prise en charge des fractures du femur par. Fracture du condyle mandibulaire dr barriere chirurgie. Fracture condylienne plan introduction 1 epidemiologie. Fracture extremite inferieure du femur epidemiologie clinique. Total knee replacement surgery is occasionally complicated by a supracondylar periprosthetic fracture, and this presents a challenging problem in an often frail population. The femur is the largest and strongest bone in the body.
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