scholarly journals A Novel Method to Fix Type C3 Distal Femur Fractures with Bone Defect Loss Using “Harms Cage”

2017 ◽  
Vol 01 (02) ◽  
pp. 96-103
Author(s):  
Shyam R. Mukhi ◽  
Poonam Mukhi ◽  
Luv Mukhi ◽  
Kush Mukhi
Keyword(s):  
Bone Defect ◽  
Distal Femur ◽  
Femur Fractures ◽  
Novel Method

scholarly journals Reconstruction of Juxta-Articular Bone Defect in an Infected Fracture Distal Right Femur Using Autologous Fibular Strut and Iliac Crest Graft

2021 ◽  
Vol 10 (39) ◽  
pp. 3501-3504
Author(s):  
Nareshkumar Satyanarayan Dhaniwala ◽  
Khizar Khusrau Khan ◽  
Salahuddin Ahmed
Keyword(s):  
Bone Defect ◽  
Iliac Crest ◽  
Distal Femur ◽  
Fracture Site ◽  
Open Fractures ◽  
Iliac Crest Graft ◽  
Strut Graft ◽  
Non Union ◽  
Femur Fractures ◽  
Fibular Strut

Distal femur fractures are about 7 % of all femur fractures.1 Being complex in nature management of these fractures is difficult; management is still a challenge in this technically advanced era. Fibular strut graft is one of the useful and simple options to manage defects in distal femur fractures. High velocity injuries causing open fractures may lead to infection and non-union of fracture if proper debridement and antibiotics are not used as per established protocol. Antibiotics can be given mixed with polymethyl-methacrylate (PMMA) cement formed in beads at the open fracture site or coated over a nail.2 This causes slow release of antibiotics and helps in control of infection. Local infection, damaged soft tissue, ischemia over fracture site, stabilisation of fracture, the hardware used and patient’s co morbidities all play a role in union and infection control of open fractures. Early detection of infection is important to avoid non-union and related complications. Distal femur juxta-articular fracture may develop infection due to fractures and unstable fixation more commonly. This may result in cavity formation and complications like osteomyelitis often leading to bone destruction and sequestrum formation. Its management becomes a challenging task for an orthopaedic surgeon.3- 9 The reconstructive methods are autogenous cortical bone, cancellous bone, allograft, bone substitutes like synthetic bone blocks and bone granules. Free bone transfer is crucial in reconstructing massive defects in distal femur fracture due to properties of rapid healing and being hypertrophic.7-13 Fibula is the best available option for grafting in massive defects of femur due to its characteristics like mechanical strength, length, minimum morbidity, and resistance to infection.3,11,13 A single fibula strut graft can give up to 26 cm of graft. The case reported here is of a patient of juxta-articular bone defect in an infected previously operated fracture distal femur using autologous fibular strut and iliac crest graft

Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review

2021 ◽  
Author(s):  
Graham J. DeKeyser ◽  
Anne J. Hakim ◽  
Dillon C. O’Neill ◽  
Carsten W. Schlickewei ◽  
Lucas S. Marchand ◽  
...  
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Distal Femur ◽  
Femur Fractures ◽  
Dual Plating

scholarly journals Evaluation of results of open distal femur fractures with primary fixation and antibiotic impregnated collagen

2019 ◽  
Vol 22 (6) ◽  
pp. 328-332
Author(s):  
Maley Deepak Kumar ◽  
Roop Singh ◽  
Rakesh Khiyani ◽  
Kiranpreet Kaur ◽  
Svareen
Keyword(s):  
Distal Femur ◽  
Femur Fractures

Radiographic Healing of Far Cortical Locking Constructs in Distal Femur Fractures

2019 ◽  
Vol 33 (6) ◽  
pp. 277-283
Author(s):  
Yanin Plumarom ◽  
Brandon G. Wilkinson ◽  
J. Lawrence Marsh ◽  
Michael C. Willey ◽  
Qiang An ◽  
...  
Keyword(s):  
Distal Femur ◽  
Femur Fractures
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