Delayed Distal Femoral Fracture Managed With ORIF and Locking-Plate Fixation
Presented by Dr. K J Reddy · MS (PGI), DNB, FRCS (Eng), FRCS (Ed), FRCS Orth (UK)
Delayed Distal Femoral Fracture Managed With ORIF and Locking-Plate Fixation
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Sign in to watchCreate a free accountA patient presented approximately one month after sustaining a distal femoral fracture. Intraoperatively, extensive fibrosis and early callus formation suggested that the injury may have been older than reported. The distal fragment was flexed and partially adherent, making mobilisation and anatomical reduction technically demanding. Osteoporotic bone and a medial butterfly fragment further complicated fixation.
Discussion
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Delayed distal femoral fracture fixation requires controlled mobilisation of contracted fragments, restoration of alignment, interfragmentary compression and biologically respectful bridge plating. Stable fixation should be achieved without unnecessary stripping or manipulation of comminuted fragments.
Key takeaway
Delayed distal femoral fracture fixation requires controlled mobilisation of contracted fragments, restoration of alignment, interfragmentary compression and biologically respectful bridge plating. Stable fixation should be achieved without unnecessary stripping or manipulation of comminuted fragments.