Abstract
Management of distal femur fractures has evolved from conservative treatment resulted in mal alignment & immobilizations and associated complications, the surgical methods promoted AO internal fixation to regain the full functional range of movements , the conventional approach for distal femur fractures with intra articular extension is through the lateral approach the exposure of intra articular fracture fragments is difficult, other surgical approaches have been reported for distal femur fractures with intra articular extensions but all of them have own limitations. In Olerud using extensible midline Y incisions with elevation of tibial tubercles, the exposure to the intra articular fragments is adequate but chances of tibial tuberosity nonunion and skin necrosis is high, swashbuckler approach is an antero- lateral approach provides inadequate approach to medial condyles. In our study we would like to assess the functional outcome of Raina’s approach for reconstruction of distal femur fractures Keywords: Distal Femur Fracture, Raina Approach
Highlights
Distal femur fracture involves the metaphysis of femoral condyles, distal femur fractures are less frequent than hip fractures, the incidence of distal femur fractures representing 4-6% of overall femoral fractures, intra articular extension of distal femur fractures occurs approximately 1/10th of proximal femoral fractures
The choice of surgical treatment has been evolving due to advances in implant designs, fracture reduction tool, improved surgical techniques and increased functional demand of the patients, the choice of implants from dynamic condylar screw to locking compression condylar plate, the conventional approach for distal femur fractures with intra articular extension is through the lateral approach the exposure of intra articular fracture fragments is difficult, other surgical approaches have been reported for distal femur fractures with intra articular extensions but all of them have own limitations
In the post operative functional outcome of distal femur fracture were measured by knee society scoring system
Summary
Distal femur fracture involves the metaphysis of femoral condyles, distal femur fractures are less frequent than hip fractures, the incidence of distal femur fractures representing 4-6% of overall femoral fractures, intra articular extension of distal femur fractures occurs approximately 1/10th of proximal femoral fractures. Management of distal femur fractures has evolved from conservative treatment resulted in mal alignment & immobilizations and associated complications and the surgical methods promoted AO internal fixation to regain the full functional range of movements. The choice of surgical treatment has been evolving due to advances in implant designs, fracture reduction tool, improved surgical techniques and increased functional demand of the patients, the choice of implants from dynamic condylar screw to locking compression condylar plate, the conventional approach for distal femur fractures with intra articular extension is through the lateral approach the exposure of intra articular fracture fragments is difficult, other surgical approaches have been reported for distal femur fractures with intra articular extensions but all of them have own limitations. I would like to study this newer Raina’s approach for reconstruction of distal femur fractures
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