Distal femur Partial articular fracture, lateral condyle, sagittal simple

Open reduction internal fixation (ORIF); lag screws

ORIF - lag screws

Indication summary: Large fragment, good bone quality, low demand patient

Skill: Some specialized surgical experience
Equipment: Full specialized surgical and imaging resources

If the fracture is displaced, open reduction internal fixation (ORIF) techniques are necessary.

Beyond 24-48 hours after injury, the fracture hematoma begins to organize. After 48 hours it is necessary to perform an open approach, even in minimally displaced fractures.

In poor bone stock, or more vertical fracture planes a buttress plate is added to enhance stability.

Indication

  • All displaced lateral sagittal split fractures

Contraindication

  • Patient not medically fit for surgery

Advantages

  • Direct articular surface reduction
  • Early mobilization of the knee joint
  • Lower risk of osteoarthritis

Disadvantage

  • Risk of knee joint stiffness

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