Femoral supracondylar locked intramedullary nailing of distal femoral fractures.docVIP

 PAGE \* MERGEFORMAT 12 Femoral supracondylar locked intramedullary nailing of distal femoral fractures Keywords: distal femoral fractures Distal femoral fractures is within 15cm of distal femur fractures, which is characterized by crushing fracture, fracture instability, and often spread to articular surface, the damage is more serious, and the femoral cortical bone thin supracondylar region, crushing, osteoporosis and marrow cavity width. In our hospital from May 2001 onwards, the application IMSC femoral supracondylar locked intramedullary nail in treatment of 21 cases of distal femoral fractures and achieved good results. This paper, the technology, indications, usage, application characteristics and clinical use of the issue in a preliminary report. 1 Data and methods 11 general information on this group 21 cases, 18 male, 3 females; aged 20 to 55 years old, with an average age of 39 years. Of which 18 cases of traffic injury, the pressure injured by 3 cases. Supracondylar fracture of 17 cases, 8 cases of condylar fractures. Distal femur by ASIF classification: A15 cases, A2 4 Li, A3 5 Li, C16 cases, C21 cases. Operative time were within 14d after injury, with an average 9d. Open Reduction and 12 cases, of which C-seven cases were open reduction, A3 3 cases were small-incision-assisted reset; closed reduction and 6 patients. Non-emergency surgery routinely ankle traction. 12 surgical patients with combined spinal-epidural anesthesia, supine position to take. Place the back of the knee pad so that the knee flexion 30 ° ~ 40 ° in order to facilitate fracture reduction and fixation. According to fracture severity, and whether involving the condyle and the articular surface between the decision to open or closed reduction. Through the anterior midline incision and medial patellar joint capsule into the knee joint. If joints fracture was open reduction with Kirschner wire or a cancellous bone screw fixation of coronal fractur