Triplane Fracture of Distal Femur in an Adult Rare Case Study and Review
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2014, Vol 16, Issue 5
Abstract
A 30-year-old patient sustained the fracture in a motorcycle accident. A triplane-type of fracture of the distal femur was confirmed by CT scan. The trochlear fragment was reduced anatomically and was stabilized with 6.5mm cannulated screws. Once reconstruction of the coronal plane fracture was performed, the split lateral condylar fragment was fixed with a cannulated screw to the medial fragment converting three parts into one fragment. The mechanism of injury seems to be axial load to the distal femur with the knee in short of extension combined with the shearing force from the anteromedial aspect producing an anterior tangential fracture pattern. Triplane fractures are by definition fractures that have a component involving all 3 planes: sagittal, coronal and transverse, commonly seen before physeal fusion. Our case is the first reported case of triplane fracture in distal femur in an adult patient.
Authors and Affiliations
Nitesh Gahlot, Uttam Saini, Shivprakash SS, Sameer Aggarwal
Keywords
Related Articles
- EP ID EP57450
- DOI -
- Views 92
- Downloads 0
Niedokrwistość – niedoceniany problem w leczeniu chorych ortopedycznych
Niedokrwistość oraz konieczność przetaczania preparatów krwiopochodnych w warunkach postępowania okołooperacyjnego u chorych ortopedycznych jest ważnym i częstym zagadnieniem klinicznym. Obecnie można zaobserwować stały...
Assessment of quality of life in patients with idiopathic scoliosis treated operatively
Introduction small percentage of patients with idiopathic scoliosis undergo surgery, which is only used in the case of the most extreme deformities of the spine and chest and progression of disease despite conservative t...
An in Silico Analysis of Ankle Joint Loads in Secondary Ankle Osteoarthritis. Case Study
Secondary, post-traumatic, degenerative lesions of the ankle joint remain a serious clinical challenge. This paper presents the case of a 66-year-old patient with secondary, post-traumatic ankle osteoarthritis and subcho...
A comparative analysis of conservative and surgical treatment of Perthes’ disease
Background. The choice of treatment method for Perthes' disease is still a frequently encountered dilemma in orthopedic practice. The aim of our research was to compare outcomes after conservative and surgical treatment...
Energy Expenditure and Walking Speed in Lower Limb Amputees: a Cross Sectional Study
Background. Energy expenditure and walking speed are generally recommended for use as measures of status and outcome for walking. The objective of this study was to measure the physiological cost index (PCI) and comfort...