title: [Favorable results of the surgical treatment of intra-articular crush fractures of the distal femur].
abstract: Severely comminuted intra-articular femoral fractures are usually associated with major soft-tissue damage as a part of serious multiple injuries. Surgical treatment should aim at exact anatomical restoration of the articular surface. Internal fixation should be stable so that functional after-treatment is possible, a condition of achieving an optimal result. In a period of over 7 years, 24 patients with 26 intra-articular comminuted fractures were operated on. Twenty patients had multiple injuries (ISS > 18), 11 fractures were complicated. Postoperatively, impaired wound healing occurred in three elderly patients; in two of these amputation was necessary. Considering the severity of the injury, the long-term results were good: ten of the 16 patients examined with 18 fractures recovered completely, in the other cases the functional result wa adequate to good. Surgical treatment of comminuted intra-articular fractures of the distal femur is to be adapted to the individual case; depending on the fracture type and the associated damage a selection is to be made from various implants and techniques. With consistent, individually adapted application of the current AO techniques good results can be obtained.
authors.affiliation: St. Elisabeth Ziekenhuis, afd, Chirurgie, Tilburg.
authors.forename: C
authors.initials: C
authors.lastname: van der Werken
authors.forename: J D
authors.initials: JD
authors.lastname: Meeuwis
authors.forename: H J
authors.initials: HJ
authors.lastname: Oostvogel
authors.forename: K P
authors.initials: KP
authors.lastname: Wolffenbuttel
mesh_terms: D000328:Adult; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D017102:Fracture Healing; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography
vernacular_title: Gunstige resultaten van operatieve behandeling van intra-articulaire verbrijzelingsfracturen van het distale deel van het femur.