title: Minimally-invasive internal fixation of extra-articular distal femur fractures using a locking plate: tricks of the trade.
abstract: Fractures of the distal femur are rare and occur in two distinct population categories: young patients after high energy traumas and elderly patients who fall from their full height, and often carry severe co-morbidities making especially difficult to manage theses complex injuries. In elderly patients the potential complications are numerous including infection, non-union and frequent function deterioration. We present a technique of minimally invasive internal fixation of the distal extra-articular femur using a locking plate and present the tricks of the trade to obtain successful reduction and achieve union. The hardware used includes plate fixation with a large fragment locking screw. This minimally invasive surgery combines stability of the internal fixation device with the principles of closed surgery, allowing early mobilization and immediate weight bearing to warrant good functional recovery.
authors.affiliation: Orthopaedic Surgery and Traumatology Department, Strasbourg University Hospital, Hautepierre Medical Center, 1, avenue Molière, 67098 Strasbourg1 cedex. France. matthieu.ehlinger@chru-strasbourg.fr
authors.forename: M
authors.initials: M
authors.lastname: Ehlinger
authors.forename: P
authors.initials: P
authors.lastname: Adam
authors.forename: L
authors.initials: L
authors.lastname: Abane
authors.forename: Y
authors.initials: Y
authors.lastname: Arlettaz
authors.forename: F
authors.initials: F
authors.lastname: Bonnomet
mesh_terms: D001860:Bone Plates; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D014025:Titanium; D016474:Weight-Bearing
chemical_list: D014025:Titanium