Distal femur Partial articular fracture, medial condyle, sagittal simple

Nonoperative treatment; long leg cast then hinged knee brace

Long leg cast then hinged knee brace

Indication summary: Undisplaced fracture, medically unfit patient

Skill: Basic surgical experience, no specialized skills
Equipment: Basic equipment only

Most distal femoral articular fractures are treated surgically. Nonoperative treatment is reserved for exceptional cases, i.e., if the general medical condition does not allow safe anesthesia. If nonoperative treatment is selected, a long leg splint, followed by a hinged knee brace, should be used to minimize limb shortening and to provide pain relief.

Indication

  • Undisplaced fractures in patients not medically fit for surgery

Disadvantages

  • Risk of knee stiffness
  • Risk of secondary displacement
  • Risk of thrombo-embolism

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