← All decks
Orthopaedics
Distal Femur Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
2 sections · 96 slides
Overview
- Introduction
- Young versus elderly patient
- Diagnostic strategy
- Anatomy and biomechanics
- Shape of the distal femur
- Shape of the distal femur
- Deforming forces on the distal block
- Deforming forces on the distal block
- Neurovascular relations
- Neurovascular relations
- Clinical and radiographic assessment
- Physical examination
- Radiographs and CT
- Associated injuries and special cases
- AO/OTA classification
- AO/OTA type A: extraarticular
- AO/OTA type A: extraarticular
- AO/OTA type B: partial articular
- AO/OTA type C: complete articular
- AO/OTA type tree for the distal femur
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Temporary and nonoperative treatment
- Temporary and nonoperative options
- Temporary and nonoperative options (cont.)
- Joint-spanning external fixator
- Joint-spanning external fixator
- Casting, bracing and traction
- Casting, bracing and traction
- Extraarticular fractures (33A)
- Avulsion fractures (33A1)
- Lag screw fixation of avulsions
- Lag screw fixation of avulsions
- Treatment options: simple and wedge
- Treatment options: simple and wedge (cont.)
- Treatment options: multifragmentary
- Treatment options: multifragmentary (cont.)
- Decision logic: extraarticular fractures
- Decision logic: extraarticular fractures
- Partial articular fractures (33B)
- Sagittal condylar fractures (33B1, 33B2)
- Lag screws with buttress plate
- Lag screws with buttress plate
- Coronal (Hoffa) fractures (33B3.2, 33B3.3)
- Coronal (Hoffa) fractures (33B3.2, 33B3.3)
- Treatment options: posterior condyle
- Treatment options: posterior condyle
- Posterior fixation of Hoffa fractures
- Posterior fixation of Hoffa fractures
- Anterior and lateral flake fractures
- Anterior and lateral flake fractures
- Complete articular fractures (33C)
- Complete articular fractures: principles
- Treatment options: 33C1 and 33C2
- Treatment options: 33C1 and 33C2 (cont.)
- Multifragmentary articular fractures (33C3)
- Treatment options: 33C3
- Treatment options: 33C3 (cont.)
- Decision logic: complete articular
- Decision logic: complete articular
- Key operative techniques
- Patient positioning
- Patient positioning
- Approaches to the distal femur
- Approaches to the distal femur
- Lateral parapatellar approach
- Lateral parapatellar approach
- Reconstruction of the articular block
- Reconstruction of the articular block
- Condylar VA-LCP: fixation sequence
- Condylar VA-LCP: fixation sequence
- Compression versus bridge plating
- Compression versus bridge plating
- Checking length, rotation and axis
- Checking length, rotation and axis
- Intraoperative fluoroscopic views
- Retrograde nailing: steps
- Retrograde nailing: steps
- Retrograde nailing: pitfalls
- Retrograde nailing: pitfalls
- Double plating and nail–plate constructs
- Double plating and nail–plate constructs
Aftercare and complications
- Aftercare after internal fixation
- Complications
- Complications
- Take-home messages
- References (1 of 7)
- References (2 of 7)
- References (3 of 7)
- References (4 of 7)
- References (5 of 7)
- References (6 of 7)
- References (7 of 7)
- Join our WhatsApp groups