Acta clinica Croatica, Vol. 52. No. 1., 2013.
Review article
Approach to Distal Femur by Osteotomy of the Patellar Distal Pole and Internal Fixation with Basket Plate in Complex Articular Fracture: Report of Five Cases
Dinko Vidović
Aljoša Matejčić
Mihovil Ivica
Dragan Đurđević
Mladen Tomljenović
Miroslav Bekavac-Bešlin
August Mijić
Bore Bakota
Zvonimir Misir
Abstract
According to AO classification, 33-C3 (complete articular multifragmentary) fracture of distal femur is characterized by complex articular involvement, along with short distal femoral block with multiple small fragments and usually with severe soft tissue abruption. In such cases of complex articular fracture of distal femur with extensive comminution of the femur condyle that is often seen in these fractures, anatomical reduction is quite difficult. Minimal fixation strategies sometimes do not provide an optimal degree of reduction and stability of the distal femoral block osteosynthesis. We describe 5 cases of treatment of the 33-C3 distal femoral fractures using arthrotomy of the knee joint by osteotomy of the distal pole of the patella and internal fixation with basket plate as an alternative approach for anatomical reduction of the comminuted articular surface.
Keywords
Distal femoral fractures; Basket plate; Arthrotomy; Knee; Reduction
Hrčak ID:
110700
URI
Publication date:
1.1.2013.
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