Orthopaedic Surgery and Traumatology Department, Strasbourg University Hospital, Hautepierre Medical Center, 1, avenue Molière, 67098 Strasbourg1 cedex. France.
Orthop Traumatol Surg Res. 2011 Apr;97(2):201-5. doi: 10.1016/j.otsr.2010.11.004. Epub 2011 Feb 18.
Fractures of the distal femur are rare and occur in two distinct population categories: young patients after high energy traumas and elderly patients who fall from their full height, and often carry severe co-morbidities making especially difficult to manage theses complex injuries. In elderly patients the potential complications are numerous including infection, non-union and frequent function deterioration. We present a technique of minimally invasive internal fixation of the distal extra-articular femur using a locking plate and present the tricks of the trade to obtain successful reduction and achieve union. The hardware used includes plate fixation with a large fragment locking screw. This minimally invasive surgery combines stability of the internal fixation device with the principles of closed surgery, allowing early mobilization and immediate weight bearing to warrant good functional recovery.
股骨远端骨折较为少见，可发生于两类特定人群：高能创伤后的年轻患者，以及从其全高处坠落的老年患者，后者常伴有严重的合并症，使这些复杂损伤的处理极具挑战性。老年患者潜在并发症众多，包括感染、骨不连和功能恶化。我们介绍一种使用锁定板微创固定关节外股骨远端的技术，并介绍获得成功复位和实现愈合的技巧。所使用的内固定硬件包括带大骨块锁定螺钉的钢板固定。这种微创手术将内固定装置的稳定性与闭合手术的原则相结合，允许早期活动和即刻负重，以确保良好的功能恢复。
