Comminuted distal femoral fractures are not easy fractures to treat and heal. If they are open fractures the problem is even bigger. Those fractures are usually seen in the young, active male population, but can happen in the senior age group as well.
I am presenting a case of an open comminuted distal femoral fracture with a bone defect in the region between 8-10 cm (it depends on how it is measured and if you accept any leg shortening as a result of it). Injury happened as a result of an RTA.
Femoral shaft non-union post closed non-comminuted fracture fixed using a locked intra-medullary nail
Prior to the knee replacement procedure lower limb should be in a reasonable alignment. Mechanical axis of femur and tibia should fall inside the joint level. Otherwise joint replacement with soft tissue balancing to accommodate for bone deformity is technically demanding if not impossible.
I am presenting a patient with previous surgeries to his lower limb due to the trauma and subsequent correction of alignment at the level of the femur.
Mr Matija Krkovic, MD, PhD
I am Consultant Orthopaedic Trauma Surgeon with special interest in Limb reconstructions and bone infections.