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28 cases of distal femur fracture fixation option
PAGE \* MERGEFORMAT 6
28 cases of distal femur fracture fixation option
[Keywords:] distal femur, fracture, internal fixation, surgery
Distal femur fracture of the anatomical location and because of their special characteristics, can be divided into the distal femoral fractures, two condylar fractures, condylar fracture, and single-epiphyseal separation of distal femur [1]. Treatment are numerous, but the effects are not happy. Our hospital from May 2002 to March 2008 were treated 28 cases of femur fractures, respectively distal femur plate, dynamic condylar screw, retrograde intramedullary nail for treatment, results were satisfactory, are as follows.
1 Materials and Methods
1.1 Clinical data
The group of 28 patients, 23 males and 5 females, aged 18 to 60 years, mean 35 years. 10 cases of fracture of the left femur, right femur fractures in 18 patients. Cause of his injuries: 15 cases of traffic accident, mine Accident injury in 10 cases, 3 cases of injury high falls .28 25 cases closed injury cases, 3 cases of open injury, both fractures. with cerebral contusion in 1 case, 2 cases of combined fracture of the contralateral lower limb, upper limb fractures in 2 cases of rib fracture in 1, lateral collateral ligament injury in 1, no vascular, nerve damage. according to AO classification [2]: A 15 cases (A1 type 1 case, A2 8 cases, A3 6 cases, B-type 8 cases (B1 type 2 patients, B2, 3 cases, B3, 3 cases, C-type in 5 cases (C1, 3 cases, C2 1 case, C3 type 1 case.
1.2 Procedures
Injury in 3 cases emergency surgery that day, both large wound, exposed bone is not heavily contaminated surgical cases, 17 cases .1 week, 1 to 2 weeks in 8 surgical cases. According to the different types of fractures with different fixation, 15 cases of distal femur anatomical plate, dynamic condylar screw in 11 cases, 2 cases of retrograde interlocking nail. to take the knee incision, needle point nail in the intercondylar fossa in front of the posterior cruciate li
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