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