An illustrative case report emphasizing the biological plating of a comminuted intra-articular fracture

Authors

  • Vignesh V. Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu, India
  • J. K. Giriraj Harshavardhan Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20201048

Keywords:

Comminuted fracture, Biological fixation, Minimal invasive plate osteosynthesis, Supracondylar femoral fracture

Abstract

Comminuted intra-articular fractures are very common in high energy traumas, conventional open reduction and plate fixation has been associated with many complications as they disturb the fracture biology and hence minimally invasive plating came into existence. We are reporting a 17 year old boy who met with road traffic accident sustained an AO type 33C2 injury to left femur with severe metaphyseal comminution treated by minimal invasive plate osteosynthesis technique who achieved full radiological union at the end of 4 months and full functional recovery at 8 months follow-up. This case emphasizes the need for preservation of fracture biology which is of paramount importance in healing of comminuted fractures.

Author Biographies

Vignesh V., Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu, India

Junior resident

J. K. Giriraj Harshavardhan, Department of Orthopaedics, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, Tamil Nadu, India

Associate Professor

References

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Nayak RM, Koichade RM, Umre AN, Ingle MV. Minimally invasive plate osteosynthesis using a locking compression plate for distal femoral fractures. J Orthop Surg. 2011;19(2):185-90.

Sanders R, Regazzoni P. Treatment of subtrochanteric femur fractures using the dynamic condylar screw. J Orthop Trauma. 1989;3(3):206-13.

Schatzker J, Lambert DC. Supracondylar fractures of the femur. Clin Orthop Related Res. 1979;138:77-83.

Marsell R, Einhorn TA. The biology of fracture healing. Injury. 2011;42(6):551-5.

Wagner M. General principles for the clinical use of the LCP. Injury. 2003;34:31-42.

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Published

2020-04-22

Issue

Section

Case Reports