Distal femur Partial articular fracture, medial condyle, sagittal fragmentary

Open reduction internal fixation (ORIF); cannulated lag screws with buttress plate

ORIF - cannulated lag screws with buttress plate

Indication summary: Large fragment, high demand patient

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

Displaced fractures should be fixed with lag screws, which can be cannulated.

It is in poor bone stock, or more vertical fracture planes that a buttress plate is added, in order to enhance stability.

Indication

  • All medial sagittal split fractures with poor bone stock, or more vertical fracture planes

Contraindication

  • Patient not medically fit for surgery

Advantages

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