Management of Complex Intercondylar Fractures of Lower End of Femur by Extensile Anterolateral Approach Using Tibial Tuberosity Osteotomy Saxena V1, Pradhan P2 1Assistant Professor, Department of Orthopaedics, Rama Medical College and Research Centre, Hapur, UP 2Associate Professor, Department of Orthopaedics, BRD Medical College, Gorakhpur, UP Online published on 18 July, 2017. Abstract Background Complex intercondylar distal femoral fractures with significant comminution in sagittal and coronal plane are highly unstable and offer a challenge for achieving congruous reduction and stable fixation. The recent use of LCP with biological fixation has emerged as a very good alternative management for these fractures. A technique that combines the advantages of direct reduction of intra-articular fractures and biological fixation of metaphyseal segments is an attractive option. We describe a lateral femoral approach with osteotomy of tibial tuberosity to access the intraarticular comminution and facilitating direct reduction of articular fragments. Material and method We present this hybrid technique for anatomic and stable reduction of type C3 distal femoral fractures by locking plate construct and present a series of X cases those who were managed with this combination of approach and internal fixation. Results Mean radiological healing time was 22.3 weeks and all cases had sound radiological healing with satisfactory results. One patient developed delayed skin necrosis for which skin flap was mobilized to cover the defect. Two cases had limited range of motion of knee. Conclusion use of this approach facilitates anatomical reconstruction of complex intraarticular fractures of distal femur with less complication rate and satisfactory clinical outcome. Top Keywords Tibial tuberosity, osteotomy, complex, intercondylar, femur. Top |