title: Complex Open Distal Femur Fracture Managed By Primary Autogenous Fibular Graft in Conjunction with DFLP- A Case Report.
abstract: Fractures of the distal part of the femur account for 7% of all femoral fractures. They are complex injuries that are difficult to manage; despite advances in technique and improved implants, treatment remains a challenge in many situations. An 18-year-old boy presented with an open fracture of the femur with bone loss. After initial emergency management, patient was given skeletal traction and kept on bohler braun splint. Regular antiseptic dressings of loosely stitched wound were done and intravenous antibiotics given. After 2 weeks when wound healed and twice cultures from wound site were negative, the fractured femur was stabilized with a dflp along with an autogenous free fibular graft and cortico-cancellous graft to bridge the bone defect. At one-year follow-up, fracture united with incorporation of free fibular graft. An autogenous free fibular graft in conjunction with a dflp is a viable option to manage bone defects in complicated supracondylar fractures of the femur.
authors.affiliation: Junior Resident, Department of Orthopaedics, Guru Nanak Dev Hospital, Government Medical College , Amritsar, Punjab, India .
authors.forename: Vishant
authors.initials: V
authors.lastname: Gawri
authors.affiliation: Senior Resident, Department of Pharmacology, Guru Nanak Dev Hospital, Government Medical College , Amritsar, Punjab, India .
authors.forename: Yashika
authors.initials: Y
authors.lastname: Garg
authors.affiliation: Assistant Professor, Department of Orthopaedics, Guru Nanak Dev Hospital, Government Medical College , Amritsar, Punjab, India .
authors.forename: Dharam
authors.initials: D
authors.lastname: Singh
authors.affiliation: Professor, Department of Orthopaedics, Guru Nanak Dev Hospital, Government Medical College , Amritsar, Punjab, India .
authors.forename: Radhe Shyam
authors.initials: RS
authors.lastname: Garg
authors.affiliation: Junior Resident, Department of Orthopaedics, Guru Nanak Dev Hospital, Government Medical College , Amritsar, Punjab, India .
authors.forename: Nishant
authors.initials: N
authors.lastname: Choudhary
keywords: Dflp (distal femoral locking plate); Femoral fractures; Supracondylar fracture