J Korean Fract Soc.  1998 Jul;11(3):514-521. 10.12671/jksf.1998.11.3.514.

A Clinical Analysis of Distal Fracture of the Femur with DCS Fixation & Early Exercise

Affiliations
  • 1Department of Orthopaedic Surgery, Gumi Hospital, college of Medicine, Soonchunhyang University, Korea.

Abstract

Fracture of the distal femur is not as common as femoral shaft or hip fracture. A widening medullary canal, thin cortex, osteopenia make open reduction and internal fixation difficult, enen for an experienced surgeon, The surgical treatment for supracondylar femoral fractures has a better outcome becuse of improved implants, fixation technique and preoperative planing during the past two decades. We reviewed 33 cases of fractures of the distal femur at Soon Chun Hyang Gumi Hospital from June, 1992 to March, 1996 with minimum 12 months follow up. Following results were obtained. 1. In age distribution, fourth decade was most frequent. 2. The most common cause of these fractures was traffic accident. 3. The most common fracture type was type C by Muller classification. 4. Complication were as follows : pain, knee joint stiffness, bursitis, skin infection etc 5. The satisfactory results could be obtained by the open reduction and rigid internal fixation followed by early R.O.M. exercise of knee joint.

Keyword

Distal femur; Fracture; Dynamic condylar screw

MeSH Terms

Accidents, Traffic
Age Distribution
Bone Diseases, Metabolic
Bursitis
Classification
Femoral Fractures
Femur*
Follow-Up Studies
Gyeongsangbuk-do
Hip
Knee Joint
Skin
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