title: Approach to distal femur by osteotomy of the patellar distal pole and internal fixation with basket plate in complex articular fracture: report of five cases.
abstract: According to AO classification, 33-C3 (complete articular multifragmentary) fracture of distal femur is characterized by complex articular involvement, along with short distal femoral block with multiple small fragments and usually with severe soft tissue abruption. In such cases of complex articular fracture of distal femur with extensive comminution of the femur condyle that is often seen in these fractures, anatomical reduction is quite difficult. Minimal fixation strategies sometimes do not provide an optimal degree of reduction and stability of the distal femoral block osteosynthesis. We describe 5 cases of treatment of the 33-C3 distal femoral fractures using arthrotomy of the knee joint by osteotomy of the distal pole of the patella and internal fixation with basket plate as an alternative approach for anatomical reduction of the comminuted articular surface.
authors.affiliation: Department of Trauma and Orthopedic Reconstructive Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia.
authors.forename: Dinko
authors.initials: D
authors.lastname: Vidović
authors.forename: Aljosa
authors.initials: A
authors.lastname: Matejcić
authors.forename: Mihovil
authors.initials: M
authors.lastname: Ivica
authors.forename: Dragan
authors.initials: D
authors.lastname: Durdević
authors.forename: Mladen
authors.initials: M
authors.lastname: Tomljenović
authors.forename: Miroslav
authors.initials: M
authors.lastname: Bekavac-Beslin
authors.forename: August
authors.initials: A
authors.lastname: Mijić
authors.forename: Bore
authors.initials: B
authors.lastname: Bakota
authors.forename: Zvonimir
authors.initials: Z
authors.lastname: Misir
mesh_terms: D000368:Aged; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D016896:Treatment Outcome