TOTBİD Dergisi

TOTBİD Dergisi

2017, Cilt 16, Sayı, 6     (Sayfalar: 624-632)

Distal femur non-unions and their treatment

İsmail Karasoy 1, Erman Ceyhan 2, Ertuğrul Akşahin 3

1 Gümüşhane Devlet Hastanesi Ortopedi ve Travmatoloji Servisi, Gümüşhane
2 Ankara Numune Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara
3 Ankara Medical Park Hastanesi, Ortopedi ve Travmatoloji Bölümü, Ankara

DOI: 10.14292/totbid.dergisi.2017.83
Görüntüleme: 677
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İndirme : 562

Distal femur fractures involve the distal 15 cm of femur. These fractures represent approximately %1 of whole fractures, and %3–6 of femur fractures. The type of the distal femur fracture with accompanying factors is important in choosing the treatment modality and material. Distal femur fractures can be treated with many different implants (locked plates, intramedullary nails, condylar screws or blade plates) in open or closed manner. Nowadays, treatment with locked compression plates is the most preferred technique in dealing with distal femur fractures. Many different rates were reported in literature about distal femur nonunion, but in a recent study, distal femur nonunion after distal femur fracture is reported as %22. Distal femur nonunion is a complicated situation that quietly decreases the life quality of a patient and creates long term disability, and this may take a long time to treat. Nevertheless, there is not any developed algorithm for the treatment of distal femur nonunion. Because of these factors in distal femur nonunion cases, primarily the reason of nonunion must be understood, and then proper treatment modality for the nonunion must be chosen with supporting treatments, if needed.

Anahtar Kelimeler : distal femur fractures; locked plate; nonunion; periprostetic fractures