Clinical observation of staged surgical treatment of a patient with a multisplintered intra-articular fracture of the distal femur

Abstract

The article presents a clinical case of a staged surgical treatment of a 43-year-old patient with an open intra-articular multi-splintered fracture of the distal femur (33, type C 3.3), complicated by a 5 cm defect of the diaphysial portion of the bone. The injury was gotten in an accident. Primary medical care was provided in Central Distict Hospital (CDH), in the form of primary surgical treatment of an open fracture and skeletal traction. After 3 weeks, the patient was transferred to a level 1 trauma center. There he underwent step-by-step operations using a distal femoral interlock plate and minimally invasive technique for primary osteosynthesis. Subsequently, during the next year, 2 more reconstructive operations were performed with simultaneous elongation of the femur, on a previously installed plate. The result is a complete anatomical and functional restoration of the knee joint and limb supportability.