A 33 year-old male was involved in a high-speed motor cycle accident and sustained multiple open injuries. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture with bone loss and ipsilateral (open) mid-shaft tibia and fibula fracture. The open wounds were irrigated and debrided on multiple occasions. The tibia fracture was treated with placement of an intramedullary nail and a spanning extrenal fixator was placed for the distal femur fracture. The local medical team then contacted the NYOTS to arrange a patient transfer for definitive management of his comminuted distal femur fracture. Upon arrival to the NYOTS, Open reduction and Internal Fixation (ORIF) was performed with placement of a LISS locking plate with fixation of the femoral condyles restoring the articular surface, alignment and length. He returned for regular follow-up and healed uneventfully. At 1 year following fracture surgery he presented with excellent radiographic and clinical results including a healed distal femur and tibia/fibula fractures, resolution of pain, and a return to pre-injury activities including golf.
IMAGES
- Figure A Anteroposterior (AP), and lateral radiographs revealing a supracondylar distal femur fracture (AO/OTA Type C3.3) with bone loss.
|
- Figure B Intraoperative fluoroscopic AP image following fracture reduction placement of LISS plate.
|
- Figure C AP, and lateral femur and tibia radiographs at 1 year illustrating healed distal femur and tibia fractures in excellent alignment.
|
- Figure D Clinical photographs at 1 year illustrating restoration of functional range of motion.
|
| |
 |
