Minimally invasive double-plating osteosynthesis of the distal femur.

Minimally invasive double-plating osteosynthesis of the distal femur. Oper Orthop Traumatol. 2020 Jun 16;: Authors: Beeres FJP, Emmink BL, Lanter K, Link BC, Babst R Abstract OBJECTIVE: Technical description of minimally invasive double-plating of the distal femur. INDICATIONS: Peri- and interprosthetic distal femur fractures with limited (periprosthetic) bone stock in geriatric patients. Re-operations (delayed and non-unions; infected non-unions) of the distal femur. Distal femoral fractures or femoral shaft fractures that do not qualify for femoral nailing and where the patient is unable to comply with weight-bearing restrictions. CONTRAINDICATIONS: Peri- and interprosthetic femoral fractures with unstable knee prosthesis and local soft tissue infection. Peri- and interprosthetic fractures of the proximal femur. SURGICAL TECHNIQUE: Supine position on a radiolucent table with both legs draped free. Support the knee to release traction on the distal fragment by the gastrocnemius muscle. Reduction and fixation of the fracture using a minimally invasive lateral approach. To reduce stress riser zones in interprosthetic fractures, the fixation device should overlap both the prosthesis by at least twice the diameter of the femoral diaphysis. Control plate position and reduction with special emphasis on length, rotation and longitudinal axes, using the healthy side as a reference. After sufficient reduction and fixa...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research