There is no consensus on what would be the ideal treatment for such cases. Les fractures unicondyliennes du femur sont des lesions rares. Supracondylar fracture of the humerus is a common childhood injury to the elbow. Anterior to the supracondylar area of the distal humerus is the median nerve. In elderly patients, they are invariably lowenergy fractures predisposed to by osteoporosis.
Ppt les fractures du femur powerpoint presentation free. Supracondylar femur fractures orthopaedicsone articles. Supracondylar soopruhkondehlahr femoral fracture also called distal distuhl femur fracture is when the thigh bone breaks at the knee. Multiple nonoperative and operative treatments have been described which have the aim of restoring the patient to their preinjury status.
In the proximal forearm, the anterior interosseous branch separates to innervate the flexor profundus to the index finger and the flexor pollicis longus and then terminates with the innervation of the pronator quadratus. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. There are different kinds of breaks, from simple to serious. Extremite inferieure femur fracture supracondylienne. Memoire online prise en charge des fractures du femur par. It take a great deal of force to break the thigh bone. If treated quickly, either by immobilizing with a cast or by surgery, the. A fracture that occurs at the distal end of the femur bone, which includes the femoral condyles and the metaphysis. Prise en charge des fractures fermees supracondyliennes. Fracture extremite inferieure du femur epidemiologie clinique.
The lateral cortex of the femur has a 10 degree slope, and the medial cortex slopes 25 degrees. This study looks at the results of retrograde femoral. Treatment of these fractures in the elderly is a challenging task for most orthopaedic surgeons. Open reduction and internal fixation surgery is typically used to repair an osteochondral fracture. Oct, 2017 supracondylar femur fractures require anatomically stable internal fixation for best results, which usually necessitates surgical treatment. Total knee replacement surgery is occasionally complicated by a supracondylar periprosthetic fracture, and this presents a challenging problem in an often frail population. Complications of supracondylar fractures of the elbow.
Scribd is the worlds largest social reading and publishing site. Retrograde femoral nailing in elderly patients with supracondylar fracture femur. The incidence of supracondylar fracture after total knee arthroplasty is approximately 1%. Pdf retrograde femoral nailing in elderly patients with. The normal anatomic axis of the distal femur is 6 to 7 degrees of valgus in a male and 8 to 9 degrees in a female. These fractures usually occur in elderly patients with multiple comorbidities and osteoporotic bone. Ttt orthopedique babp 6 semaines ttt chirurgical sinon fracture du condyle lateral mecanisme indirect. Supracondylar fractures of femur constitute 7% of all femoral fractures. Maitrise orthopedique articles fracture femorale sur. Fracture du condyle mandibulaire dr barriere chirurgie. Supracondylar periprosthetic femoral fractures following. The femur is the largest and strongest bone in the body. Fracture unicondylienne laterale sagittale du femur associee a une. Typically, the condyle will fracture and the patella may dislocate as a result of severe impaction from activities such as downhill skiing and parachuting.
Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. Les fractures unicondyliennes du femur distal sciencedirect. The osteochondral fracture occurs on the weightbearing portion of the lateral condyle. Fracture condylienne plan introduction 1 epidemiologie. A free powerpoint ppt presentation displayed as a flash slide show on id.
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