Executive Editor: Chris Colton

Authors: Florian Gebhard, Phil Kregor, Chris Oliver

Distal femur 33-Partial articular fracture, frontal/coronal, anterior and lateral flake

Overview

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.

Arthroscopic approach i

The arthroscopic approach is only recommended in minimally, or nondisplaced, fractures in young patients.

The arthroscopic approach is only recommended in minimally, or nondisplaced, fractures in young patients. Advanced experience in arthroscopic surgery is essential.

Medial parapatellar approach i

Medial parapatellar approach

Make a longitudinal, slightly oblique medial parapatellar incision along a line starting 5 cm above the superior pole of the patella to the tibial tubercle.

Safe zones i

Safe zones

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

Appendix

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v1.0 2008-12-03