Distal femoral fractures in children.

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Abstract

8. J Orthop Trauma. 2016 Aug;30 Suppl 2:S25-7. doi: 10.1097/BOT.0000000000000621. Treatment Options for Distal Femur Fractures. von Keudell A(1), Shoji K, Nasr M, Lucas R, Dolan R, Weaver MJ. Author information: (1)*Harvard Orthopaedic Trauma Initiative, Boston, MA; and †Center for Advanced Orthopaedic Studies, Beth Israel Deaconess Medical Center, Boston, MA. Despite advances in implant design, the management of distal femur fractures remains challenging. Fracture comminution and intra-articular extension can make it difficult to obtain an adequate reduction while preserving the soft tissue attachments to bone fragments to allow for bone healing. Many implant manufacturers have developed optimal anatomically contoured, distal femoral locking plates with percutaneous guides. This environment allows for the application of lateral locked plates in a biologically friendly manner. Although initial reports had high success rates, more recently a high rate of nonunion has been found, particularly in elderly patients. Limited literature is available for the treatment of patients with osteoporotic bone and associated ipsilateral total knee replacement and hip replacement. We present a patient with a distal femur fracture with significant comminution in the setting of an ipsilateral total hip replacement. DOI: 10.1097/BOT.0000000000000621