Chapters authored
Far Proximal and Far Distal Tibial Fractures: Management with Intramedullary Nails
Operative treatment of tibial fractures located at the proximal metaphyseal-epiphyseal and distal metaphyseal-epiphyseal areas, including those with articular extensions, is a technical challenge. Common methods for surgical management include plates (locking and nonlocking), external fixation devices, and intramedullary nails. All these methods have shown satisfactory results in terms of quality of reduction and clinical and radiological outcomes. The authors present some technical methods and strategies that have been useful for the surgical approach, reduction, and fixation of these lesions with the use of locked nails.
Part of the book: Tibia Pathology and Fractures
Management of Distal Femoral Fractures
Operative treatment of distal femoral fractures has evolved significantly in tems of strategy and implants available for fracture fixation. Major advances include improvements in fixation devices, as well as the understanding of the pathomechanics of fixation failures. As the complexity of the fracture increases, and in conjunction with considerations of the general status and functionality of the patient, judicious planning, surgical approach and choice of implants can be undertaken, in order to obtain optimal functional restoration. This goes along tightly with the capability of a given construct to withstand deforming forces, while early mobilization and weight bearing take splace, and ultimately bone healing occurs. Minimizing the risk of complications, such as hardware failure and nonunion, depend closely on proper planning and execution. Factors inherent to the patient and the fracture itself are beyond the surgeon’s control. But taking these in mind, allows the surgeon to select properly the timing, surgical approach and choice of implant—or combination of implants—, best suited for a given patient.
Part of the book: Current Fracture Care