These cases are are to get you to start thinking and questioning your knowledge ahead of the webinar on distal femur fractures.

We are joined for this 360 degree educational event by:

Pete Bates (Session Chair)
Jayne Ward
Greg Della Rocca
Enis Guryel

Lets get straight to the cases -

Case 1

This is a 23yrs scaffolder, who fell through a roof and landed on a metal railing below.
It is a closed, neurovascularly intact, isolated injury.  Soft tissues are good and he is a fit young dude.
A CT confirms some medial comminution but no extension into the joint

At the very height of COVID-mania, did you ever find yourself (or see others) treating this non-operatively?

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What’s your choice of fixation here?

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The operating surgeon treats him with a lateral locking plate.

Accepting that this is a slightly old-school plate design, which of the following statements most accurately reflects your gut response to this fixation?

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Case 2

71 yrs lady, tripped over uneven paving.  Independent ambulator without aids.  No problems with that TKR (10 yrs old) in the build-up.  She is in good health with only minor co-morbidities.  Closed, isolated injury.

Question 1

True or False (and be honest!).  In my practice, after fixing this fracture the post-op instructions would specify some weight-bearing restrictions (partial wb, non-wb, toe-touch, foot flat etc)

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Question 2

Which of the following most closely fits your preferred mode of fixation for this fracture?

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Case 3

29 yrs male, car vs tree at speed.
This was an isolated, closed injury.
Otherwise fit and well.

Which of the following would you employ to reduce the intercondylar split?

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Which of the following most closely fits your preferred mode of fixation for this closed fracture?

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Please post your thoughts about these cases in the comments section below.

For the answers to these questions and much more join our webinar, Tuesday 15th February at 8pm GMT, or watch back after the event on the above link.