Distal Femur Extraarticular fracture, wedge

Open reduction internal fixation (ORIF); angled blade plate

ORIF - blade plate

Indication summary: Indirect reduction not possible, image intensification not available, Surgeon's preference

Skill: Highly experienced and skilled surgeon
Equipment: Full specialized surgical and imaging resources

The advantage of a blade plate, when inserted in an open manner, is that the surgeon can use the implant as a reduction aid.

By inserting the blade plate in the precisely appropriate position in the distal femoral block, the surgeon ensures appropriate varus/valgus reduction when the plate is brought down to the bone.

Indications

  • Closed and open fractures
  • Closed reduction impossible
  • Some periprosthetic fractures
  • Image intensifier not available
  • Early pregnancy (up to 12 weeks gestation; reduces intraoperative ionizing radiation)

Contraindications

  • Polytrauma patient in highly unstable condition
  • Patient not medically fit for surgery
  • Local soft-tissue compromise

Advantages

  • Definitive procedure
  • Direct fracture reduction
  • Fracture stabilization allows for early mobilization patient of patients postoperatively
  • Can be used in cases of pulmonary compromise
  • Less exposure to ionizing radiation

Disadvantages

  • Risk of infection
  • Risk of implant related complications
  • Risk of greater blood loss
  • Exposure of fracture zone
  • Larger operative soft-tissue trauma
  • More visible scarring

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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v1.0 2008-12-03