J Korean Fract Soc.  1990 May;3(1):53-61. 10.12671/jksf.1990.3.1.53.

Operative Treatment on Fracture of Distal Third of Femoral Shaft

Affiliations
  • 1Department of Orthopaedic surgery, College of Medicine, Ewha Womans University, Seoul, Korea.

Abstract

The fracture of distal third of femoral shaft difficult to choose method of treatment and timing of wt. bearing because of increrment of communited fracture, anatomic characteristics and complication such as metal faulure, shortening and angulation. After analysis of 52 cases of fracture of distal third femoral shaft treated operatively in the Department of Orthopaedic Surgery, Ewha Womans University Hospital during 5.5yrs from. Jan. 1984 to June 1989 except pathologic fracture, the following results were obtained. 1. By Reis and Hirschberg classification, type I, II and III fracture wore seen in 16 patients (31%), 12 patients(23%) and 24 patients(46%) respectively. 2. The rate of complication was 29%(15 cases) with 46%(7 cases) of the complication related to the nature of the implant. 3. Among the 7 cases of metal faulure, four cases was caused by early wt. bearing and uncarefulness of patients in type III fracture.

Keyword

Fracture; Distal femoral shaft; wt. bearing; Metal failure

MeSH Terms

Classification
Female
Fractures, Spontaneous
Humans
Methods
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