Supracondylar femoral fracture
Supracondylar region area 9cm from knee articular surface.
Bimodal demographic presentation,
Prior to the early 1970s, most fractures of the distal femur were treated non - operatively. Although there remain indications for nonoperative management of distal femur fractures, most authors suggest surgical intervention.
May visualize intra articular better with 45 degree obliques. Traction views may help
CT scan may be useful in cominuted articular fractures
Most useful AO (AO/ASIF)
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Surgical technique and implants have improved considerably leaving very few indications for non operative management of supracondylar fractures.
Generally need to look for reason not to operate. Patient unfit for surgery bearing in mind patient may not be fit for prolonged bed rest. Poor bone quality or gross comminution, preventing adequate hold / fixation. In this case best not embarking on operative fixation.
Undisplaced and impacted fractures can be treated non operatively.
Complications of non-operative treatment included angular deformity, joint incongruity, knee stiffness, and delayed patient mobility.
Surgical options/ implants screws ,
Implant choice depends on
Helfet, David L. MD, Lorich, Dean G. MD, Retrograde Intramedullary Nailing of Supracondylar Femoral Fractures. Clinical Orthopaedics & Related Research. (350):80-84, May 1998.
Placide, Ricky J. MD. Lonner, Jess H. MD. Fractures of the distal femur. Current Opinion in Orthopedics. 10(1):2-9, February 1999.
Last updated 16/08/2004