Management of Distal Femur Fractures With Modern Plates and Nails: State of the Art

被引：67

作者：

Beltran, Michael J. ^{[1
]}

Gary, Joshua L. ^{[2
]}

Collinge, Cory A. ^{[3
]}

机构：

[1] San Antonio Mil Med Ctr, Dept Orthopaed & Rehabil, Ft Sam Houston, TX USA

[2] Orthopaed Specialty Associates, Ft Worth, TX USA

[3] Univ Texas Hlth Sci Ctr Houston, Houston, TX 77030 USA

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 2015年 / 29卷 / 04期

关键词：

distal femur; extreme nailing; locked plating; modern techniques; trauma; INVASIVE STABILIZATION SYSTEM; FAR CORTICAL LOCKING; FEMORAL FRACTURES; SUPRACONDYLAR FRACTURES; INTRAOPERATIVE CONTROL; FIXATION; ASSOCIATION; FAILURE; SWASHBUCKLER; TROCHANTER;

D O I：

10.1097/BOT.0000000000000302

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Fractures of the distal femur, even those with articular extension, are well suited to surgical fixation with modern precontoured anatomic plates and nails. Numerous adjuvant techniques are available to the treating surgeon to obtain and maintain reduction while preserving fracture biology. Yet despite their proven track record and benefits over older implants, technical errors are common and must be overcome with proper preoperative planning and intraoperative attention to detail. This review summarizes the current state of the art regarding distal femur fractures, with an emphasis on relevant modern plate and nail surgical techniques, tempered by our current understanding of implant biomechanics, fracture healing, and long-term outcomes.

引用

页码：165 / 172

页数：8

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