关键词: Distal femur fracture distal femur plating intra-articular fracture intramedullary nailing

来  源:   DOI:10.13107/jocr.2024.v14.i07.4588   PDF(Pubmed)

Abstract:
UNASSIGNED: Securing stable internal fixation for fractures in osteoporotic intra-articular distal femur proves to be a demanding task due to thin cortices, a wide medullary canal, diminished bone stock, and fracture comminution. No singular therapeutic approach has successfully tackled all facets of this injury. Consequently, we now introduce a pioneering fixation method in our report, aiming to offer a holistic solution to the intricate challenges associated with this scenario.
UNASSIGNED: A 60-year-old female presented with an intra-articular distal femur fracture, and underwent a combination fixation of distal femur plate and intramedullary interlocking nailing. The patient was rehabilitated with active knee range of motion on post-operative day 7 and has now attained full knee range of motion.
UNASSIGNED: The utilization of anatomical plates with locking mechanisms, in tandem with intramedullary interlocking nailing, holds promise for the secure stabilization and fixation of osteoporotic distal femur fractures, potentially leading to an expedited recovery process.
摘要:
由于皮质薄,确保骨质疏松性关节内股骨远端骨折的稳定内固定被证明是一项艰巨的任务,一条宽阔的髓管,骨骼储备减少,和骨折粉碎。没有单一的治疗方法成功地解决了这种损伤的所有方面。因此,我们现在在我们的报告中引入了一种开创性的固定方法,旨在为与此场景相关的复杂挑战提供整体解决方案。
一名60岁的女性患者出现股骨远端关节内骨折,并接受了股骨远端钢板和髓内交锁钉的组合固定。患者在术后第7天以积极的膝关节运动范围进行了康复,现在已经达到了全膝关节运动范围。
使用具有锁定机制的解剖钢板,与髓内互锁钉配合,为骨质疏松性股骨远端骨折的安全稳定和固定提供了希望,可能导致加速恢复过程。
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