The combination of these approaches should be considered for the treatment of comminuted femoral fractures. The MIPPO technique was then used to treat the multisegment comminuted femur fracture, with the patient achieving good clinical recovery. The preshaped LCP was consistent with the femoral anatomy, which was beneficial for fracture fragment reduction and ligament correction. The 3D-printed model served as a preoperative tool for preshaping the customized LCP and simulating implantation. Here we report the application of three-dimensional (3D) computed tomography (CT) scanning to print a life-size 3D model of a patient’s contralateral femur using a mirroring technique. However, this surgical procedure is still limited by poor alignment correction and insufficient bone fragment reduction ( 11).
These provide a good biological environment for fracture healing, thereby reducing bone graft rate and the occurrence of nonunion ( 10). Maximum protection of bone fracture fragments and the surrounding blood supply can be achieved by minimally invasive percutaneous plate osteosynthesis (MIPPO) technology. Meanwhile, open reduction and internal fixation (ORIF) with an anatomical plate requires reduction of the fracture fragment by periosteum removal over a large area, which may lead to delayed bone healing ( 8).Ī lateral locking compression plate (LCP) has recently been recommended for comminuted femur fracture fixation for its excellent mechanical characteristics ( 9).
The application of interlocking intramedullary nail may experience bone union linked to difficulties in the anatomical reduction of comminuted fracture ( 7). External fixation is potentially complicated by needle infection and limited functionality ( 6).
Chiefs femur break skin#
For instance, long-term skin and bone traction may cause joint stiffness, deformity, and complications related to bed confinement ( 5). This condition is more prone to complications such as valgus deformity, fracture nonunion, and internal fixation failure ( 3).Īlthough various treatments such as skin and bone traction, external fixation, interlocking intramedullary nails, and anatomical plates have been attempted, some complications remain unresolved ( 4). Notably, there is a lack of mechanical support on the medial side of the fracture when the medial cortex is pulverized. The fixation of comminuted mid-distal femur fracture is challenging in clinical practice, mainly due to the high degree of comminution and malformation caused by traction of the attached muscles ( 1, 2). Keywords: 3D-printed model case report comminuted femur fracture customized locking compression plate MIPPO technique This procedure offers new possibilities for orthopedic surgeries and should be considered as an option for accurate fixation of comminuted mid-distal femur fractures. No postoperative complications were observed at the 3-year follow-up when the plate was removed. Finally, the comminuted femur fracture was treated with the minimally invasive percutaneous plate osteosynthesis technique for maximum protection of bone fracture fragments and the surrounding blood supply. A three-dimensional printed model was then used as a preoperative simulation tool to preshape the customized locking plate, reducing the operation difficulty and improving surgical accuracy. Emergency traction of the tibia tubercle was initially performed using a large distractor for temporary external fixation to maintain the femoral force line and to reduce intraoperative fractures.
Chiefs femur break series#
Here we describe a procedure involving a series of steps for accurate fracture fixation in a patient diagnosed with comminuted mid-distal femur fracture. Policy of Dealing with Allegations of Research MisconductĪbstract: Fixation of a comminuted mid-distal femur fracture is challenging in clinical practice due to a high degree of comminution and malformation.Policy of Screening for Plagiarism Process.
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