Femoral Intercondylar Fracture: Current Overview of The Literature
DOI:
https://doi.org/10.31282/joti.v5n2.99Keywords:
Fracture, Intercondylar, Femur, Distal Femur, ManagementAbstract
Intercondylar fracture of the femur is a fracture between the medial and lateral condyle. Classification of distal femur fractures includes extra-articular, intra-articular, and bicondylar intra-articular. The main mechanism of intercondylar fracture is a fall into a flexed knee. Early history and physical examination aim to find out the mechanism and timing of the injury. Radiological examination was performed thoroughly including the proximal and distal joints of the knee and hip. Management consists of non-operative and surgical which is chosen based on the fracture type, medical conditions, surgeon’s preferences, and resources. Hence, the purpose of this review was to update the current management of fracture intercondylar of the femur.
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Salter, Robert Bruce. Textbook of disorders and Injuries of the Musculoskeletal System. Baltimore: William & Wikins Co. 1970;17:629-630
Court-Brown CM, Caesar B: Epidemiology of adult fractures: A review. Injury 2006;37(8):691-697.
Martinet O, Cordey J, Harder Y, Maier A, Bühler M, Barraud GE: The epidemiology of fractures of the distal femur. Injury 2000;31(suppl 3):C62- C63.
Zlowodzki M, Bhandari M, Marek DJ, Cole PA, Kregor PJ. Operative treatment of acute distal femur fractures: systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma. 2006 May;20(5):366-71
Arneson TJ, Melton LJ III, Lewallen DG, O’Fallon WM: Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965-1984. Clin Orthop Relat Res 1988;234:188- 194.
Yoo JD, Kim NK. Periprosthetic fractures following total knee arthroplasty. Knee Surg Relat Res. 2015;27(1):1-9. doi:10.5792/ksrr.2015.27.1.1
Marsh JL, Slongo TF, Agel J, et al: Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database, and outcomes committee. J Orthop Trauma. 2007;21(10 suppl):S1- S133.
Gangavalli AK, Nwachuku CO. Management of Distal Femur Fractures in Adults: An Overview of Options. Orthop Clin North Am. 2016;47(1):85-96. doi: 10.1016/j.ocl.2015.08.011. PMID: 26614924.
DeKeyser GJ, Hakim AJ, O'Neill DC, Schlickewei CW, Marchand LS, Haller JM. Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review. Arch Orthop Trauma Surg. 2022;142(10):2597-2609. doi: 10.1007/s00402-021-03988-9. Epub 2021 Jun 7. PMID: 34097123.
Richards JA, Berkay FB, Davis CM, Zamora RA. Intra-articular Fracture Pattern in Intercondylar Distal Femur Fractures: An Analysis of Frequency and Major Fracture Fragments. Injury. 2021;52(4):967-970. doi: 10.1016/j.injury.2020.11.061. Epub 2020 Nov 28. PMID: 33280890.
Dugan TR, Hubert MG, Siska PA, Pape HC, Tarkin IS. Open supracondylar femur fractures with bone loss in the polytraumatized patient - Timing is everything! Injury. 2013 Dec;44(12):1826-31.
Boyce RH, Singh K, Obremskey WT. Acute Management of Traumatic Knee Dislocations for the Generalist. J Am Acad Orthop Surg. 2015 Dec;23(12):761-8.
Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. Surgical techniques and a review of the literature. OrthopTraumatol Surg Res. 2013 May;99(3):353-60. doi: 10.1016/j.otsr.2012.10.014.
Nork SE, Segina DN, Aflatoon K, et al. The association between supracondylar-intercondylar distal femoral fractures and coronal plane fractures. J Bone Joint Surg Am 2005;87:564–9.
Cass J, Sems SA: Operative versus nonoperative management of distal femur fracture in myelopathic, nonambulatory patients. Orthopedics. 2008;31(11):1091.
Agarwal A. Open reduction and internal fixation of the distal femur. In: Wiesel SW, editor. Operative techniques in orthopaedic surgery, vol. 1. Philadelphia: Lippincott Williams & Wilkins. 2011; 582–4
Haidukewych GJ. Temporary external fixation for the management of complex intra- and periarticular fractures of the lower extremity. J Orthop Trauma. 2002;16(9):678–85.
Arazi M, Memik R, Ogu¨n TC, et al. Ilizarov external fixation for severely comminuted supracondylar and intercondylar fractures of the distal femur. J Bone Joint Surg Br. 2001;83(5):663–7.
Kumar P, Singh GK, Singh M, et al. Treatment of Gustilo grade III B supracondylar fractures of the femur with Ilizarov external fixation. Acta Orthop Belg. 2006;72(3):332–6.
Khalafi A, Hazelwood S, Curtiss S, Wolinski P. Fixation of the femoral condyles: a mechanical comparison of small and large fragment screw fixation. J Trauma. 2008;64:740—4.
Jarit GJ, Kummer FJ, Gibber MJ, Egol KA. A mechanical evaluation oftwo fixation methods using cancellous screws for coronal fractures of the lateral condyle of the distal femur (OTA type 33B). J Orthop Trauma 2006;20:273—6.
Gwathmey FW Jr, Jones-Quaidoo SM, Kahler D,et al. Distal femoral fractures: current concepts. J AmAcadOrthop Surg. 2010;18(10):597–607.
Huang SC, Lin CC, Lin J. Increasing nail-cortical contact to increase fixation stability and decreased implantstarin in antegrade locked nailing of distal femoral fractures: a biomechanical study. J Trauma 2009;66:436—42.
Antekeier SB, Burden RL, Voor MJ, Roberts CS. Mechanical study of the safe distance between distal femoral fractures site and distal locking screws in anterograde intramedullary nailing. J Orthop Trauma 2005;19:693—7.
Bas‚cı O, Karakas‚ lı A, Kumtepe E, et al. Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability. Eklem Hastalik Cerrahisi 2015;26(1):21–6.
Heiney JP, Barnett MD, Vrabec GA, et al. Distal femoral fixation: a biomechanical comparison of trigen retrograde intramedullary (i.m.) nail, dynamic condylar screw (DCS), and locking compression plate (LCP) condylar plate. J Trauma 2009;66(2):443–9.
Benum P. The use of bone cement as an adjunct to internal fixation of supracondylar fractures of osteoporotic femurs. Acta Orthop Scand. 1977 May;48(1):52-6.
Struhl S, Szporn MN, Cobelli NJ, Sadler AH. Cemented internal fixation for supracondylar femur fractures in osteoporotic patients. J Orthop Trauma. 1990;4(2):151-7
Nizegorodcew T, Palmieri G, Peruzzi M, Galli M. Allograft for the treatment of traumatic severe bone loss in the lateral femoral condyle: A case report. Injury. 2018 Dec;49 Suppl 4:S16-S20.
Vaishya R, Singh AP, Hasija R, Singh AP. Treatment of resistant non-union of supracondylar fractures femur by megaprosthesis. Knee Surg Sports Traumatol Arthrosc. 2011;19:1137—40.
Haidukewych GJ, Springer BD, Jacofsky DJ, Berry DJ. Total knee arthroplasty for salvage of failed internal fixation or non-union of the distal femur. J Artrhoplasty 2005;20:344—9.
Lombardi AV Jr, Mallory TH, Waterman RA, Eberle RW. Intercondylar distal femoral fracture. An unreported complication of posterior-stabilized total knee arthroplasty. J Arthroplasty. 1995;10(5):643-50. doi: 10.1016/s0883-5403(05)80209-8. PMID: 9273376.
Starr AJ, Jones AL, Reinert CM. The ‘“Swashbuckler”’: a modifed anterior approach for fractures of the distal femur. J Orthop Trauma. 1999;13:3.
Wu TM, Chien CS, Lin SH. A novel approach to distal femur: a minimally invasive technique for supracondylar and intercondylar fracture. J Orthop Surg Res. 2022 Mar 24;17(1):180. doi: 10.1186/s13018-022-03076-7. PMID: 35331270; PMCID: PMC8944038.
