Blog Archives

Open comminuted distal femoral fracture in the knee with severe OA

19/8/2015

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.

$open fracture, compound fracture, distal femoral fracture$

Ap view of an open distal femoral fracture with significant comminution and OA of the knee joint.

$open fracture, compound fracture, distal femoral fracture$

Lateral view of an open distal femoral fracture with significant comminution and OA of the knee joint.

Femoral shaft non-union post closed non-comminuted fracture fixed using a locked intra-medullary nail

14/8/2015

0 Comments

$femoral shaft fracture, intra-medullary nailing$

AP and lateral view radiographs of a femoral shaft fracture nailed in an excellent position.

Femoral shaft fractures do not have very high tendency to heal without any further intervention. And if the fracture is open, it is even worse.

Currently accepted treatment for majority of the femoral shaft fractures is locked intra-medullary nailing, reamed or undreamed. Depends on surgeon preferences but also clinical condition of the patient.

I am presenting a case where femoral shaft fracture was nailed in excellent position after a closed injury but till ended in non-union.

Sometimes reduction of the fracture and nailing without opening the fracture site is impossible, particularly if patients are muscular. To insert intra-medullary guide wire into the both main fragments can become impossible without opening the fracture site and guide the guide wire under visual control.

0 Comments

Limb alignment correction using TSF fine wire frame prior to the Total Knee Replacement

12/8/2015

0 Comments

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.

0 Comments

Open comminuted distal femoral fracture in the knee with severe OA

Femoral shaft non-union post closed non-comminuted fracture fixed using a locked intra-medullary nail

Limb alignment correction using TSF fine wire frame prior to the Total Knee Replacement

Mr Matija Krkovic, MD, PhD

Archives

Categories

Consulting Rooms

Office