Courtesy: Abhijeet Wahegaonkar, Ashok Shyam, Pune Trauma Course, IORG and OrthoTV
Comments
Francisco De Pacesays
In this case Plate failure is a real risk and pain could be present at 90 degrees of knee flexión due to:
AP view Femur
– Proximal femoral bone segment misaligned to the plate.
– Distal femoral joint suface misaligned to the plate. Valgus deformity
– Bad interfragmentary alignment in valgus (78 degrees FLDAa) and medial translation of the distal fragment.
Lateral femur view:
– Proximal femoral bone segment rotated and posteriorly retracted.
-Rotated distal femoral bone segment.
-Femoral deformity in recurvatum
-Maybe less than 50% bone contact.
Hardware
-Proximal 2nd, 3rd 4th screws are not in the center of the bone. Poor proximal fit.
-2nd screw is not properly square aligned..
-Two condylar canulated screws tips are contacting posterior medial condyle joint surface.
Miscellaneous:
Impossible to cover with bone graft the lack of contact of both segments.
In this case Plate failure is a real risk and pain could be present at 90 degrees of knee flexión due to:
AP view Femur
– Proximal femoral bone segment misaligned to the plate.
– Distal femoral joint suface misaligned to the plate. Valgus deformity
– Bad interfragmentary alignment in valgus (78 degrees FLDAa) and medial translation of the distal fragment.
Lateral femur view:
– Proximal femoral bone segment rotated and posteriorly retracted.
-Rotated distal femoral bone segment.
-Femoral deformity in recurvatum
-Maybe less than 50% bone contact.
Hardware
-Proximal 2nd, 3rd 4th screws are not in the center of the bone. Poor proximal fit.
-2nd screw is not properly square aligned..
-Two condylar canulated screws tips are contacting posterior medial condyle joint surface.
Miscellaneous:
Impossible to cover with bone graft the lack of contact of both segments.