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Case report| Volume 33, ISSUE 8, P735-737, October 2002

Intercondylar fractures of the femur in the elderly: a treatment option

      Intercondylar fracture of the femur is an inherently difficult injury to manage due to the thin cortices, frequently associated comminution and articular surface disruption. In the past two decades, numerous reports have shown that internal fixation is a better option to non-operative treatment [
      • Schatzker J.
      Fractures of distal femur revisited.
      ]. A variety of implants have been used for the fixation of these fractures [
      • Gregory P.
      • Sanders R.W.
      The treatment of supracondylar intracondylar fractures of the femur using the dynamic condylar screw.
      ,
      • Leung K.S.
      • Shen W.Y.
      • So W.S.
      • et al.
      Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur.
      ]. We describe here a case of comminuted intercondylar fracture (AO type 33.C 2.3) of the femur in an 82-year-old osteoporotic lady which was managed by antegrade locked knee arthrodesis nail.
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      References

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        Fractures of distal femur revisited.
        Clin. Orthop. Relat. Res. 1998; 347: 43-56
        • Gregory P.
        • Sanders R.W.
        The treatment of supracondylar intracondylar fractures of the femur using the dynamic condylar screw.
        Tech. Orthop. 1995; 9: 195-202
        • Leung K.S.
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        • So W.S.
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        Interlocking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur.
        J. Bone Jt. Surg. 1991; 73A: 332-340
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        Retrograde intramedullary nailing of supracondylar femoral fractures.
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