Document Detail

Closed management of distal femoral fractures.
MedLine Citation:
PMID:  3437140     Owner:  NLM     Status:  MEDLINE    
Since closed treatment is effective in 80% to 85% of distal femoral fractures, operative intervention is not recommended. Unnecessary surgery produces unwarranted complications. The cast-brace technique should be used in the first week or two after injury to prevent deformities commonly associated with distal femoral fractures. The thigh cast should be carefully molded well over the femoral condyles. Distal femoral traction is preferred to proximal tibial traction to correct fracture deformities. If the closed reduction technique is not satisfactory in the early period after injury, operative intervention can still be readily accomplished. Percutaneous pin fixation of the condyles or intramedullary load-sharing devices are the treatment of choice for the very limited number of fractures that require open reduction and internal fixation.
J F Connolly
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Instructional course lectures     Volume:  36     ISSN:  0065-6895     ISO Abbreviation:  Instr Course Lect     Publication Date:  1987  
Date Detail:
Created Date:  1988-04-01     Completed Date:  1988-04-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7507149     Medline TA:  Instr Course Lect     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  428-37     Citation Subset:  IM    
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MeSH Terms
Bone Plates
Casts, Surgical
Combined Modality Therapy
Femoral Fractures / radiography,  rehabilitation,  therapy*
Fracture Fixation / methods*
Orthopedic Fixation Devices

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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