Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC.
J Orthop Trauma. 2018 Aug;32 Suppl 1:S28-S29. doi: 10.1097/BOT.0000000000001218.
Fractures of the distal femur with intercondylar extension and comminution are challenging cases and demand a thorough preoperative evaluation and execution of proper surgical technique. Identification of the intra-articular fractures, including coronal fractures of the lateral condyle, is important in planning surgery and emphasizes the need for computerized tomography scans. Recent advances with anatomic, locking plates have made minimally invasive surgery easier, but joint reduction needs to be performed meticulously in an open manner, and restoration of the mechanical alignment through plate fixation is essential for a good clinical outcome. Stable fixation that allows for early range of motion and mobilization are essential for the patient's recovery. This video demonstrates open reduction and internal fixation of a high-energy supracondylar/intercondylar distal femur fracture and emphasizes minimally invasive, biologically friendly techniques.
髁间及粉碎性股骨远端骨折是极具挑战性的病例，需要进行全面的术前评估和正确的手术技术操作。对关节内骨折，包括外侧髁冠状骨折的识别在手术计划中非常重要，这强调了计算机断层扫描的必要性。解剖锁定钢板的最新进展使微创手术变得更加容易，但关节复位需要以开放方式进行仔细操作，通过钢板固定恢复机械对线对于获得良好的临床结果至关重要。允许早期活动和动员的稳定固定对于患者的康复至关重要。本视频演示了高能股骨髁上/髁间骨折的切开复位内固定，并强调了微创、生物友好型技术。
