Executive Editor: Chris Colton

Authors: Florian Gebhard, Phil Kregor, Chris Oliver

Distal femur 33-Complete articular fracture, multifragmentary articular

Overview

Lateral/anterolateral approach i

Lateral/anterolateral approach

The lateral approach to the distal femur allows for visualization, reduction and fixation of simple articular fractures of the distal femur.

MIPO approach i

Minimally invasive plate osteosynthesis (MIPO) approach to the distal femur from lateral/anterolateral

The lateral minimally invasive plate osteosynthesis (MIPO) approach combines a short version of the open lateral approach to the distal femur, a minimally invasive approach to the midshaft or, proximal femoral region and small 1.0 – 1.5 cm wide stab incisions.

Lateral parapatellar approach i

Lateral parapatellar approach

The lateral parapatellar approach provides a good view of the articular surface of the distal femur. With a longitudinal division of the quadriceps tendon and extensor mechanism, the patella can be dislocated medially.

Safe zones i

Safe zones

Inserting percutaneous instrumentation through safe zones reduces the risk of damage to neurovascular structures.

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v1.0 2008-12-03