Jhurani Anoop, Agarwal Piyush, Sahni Hardik, Krishnamurthy Kanagasarathy
Department of Joint Replacement Services, Joint Replacement Services, Fortis Escorts Hospital, Jaipur, Rajasthan, India.
J Orthop Case Rep. 2023 Dec;13(12):115-120. doi: 10.13107/jocr.2023.v13.i12.4100.
Neglected distal femur fractures often present with significant uncontained bone defects of the lateral femoral condyle (LFC) leading to a valgus deformity and lateral compartment arthritis.
Bone defect can be managed with the help of autogenous bone graft harvested from a distal femur cut and shaped in the form of an augment. The objective of using bone graft along with the primary femur was to restore bone stock in a young patient and prevent the use of an augment with a revision femur and intramedullary rod.
The use of computer navigation helped in getting accurate components and overall alignment thus facilitating compression at the bone graft site and early union.
被忽视的股骨远端骨折常伴有外侧股骨髁(LFC)严重的开放性骨缺损,导致外翻畸形和外侧间室关节炎。
骨缺损可借助从股骨远端切取并塑形为增强物形式的自体骨移植来处理。在这位年轻患者中,使用骨移植与初次股骨手术相结合的目的是恢复骨量,并避免在翻修股骨和髓内钉手术中使用增强物。
计算机导航的使用有助于获得精确的组件和整体对线,从而促进骨移植部位的加压和早期愈合。