Abstract
During past few years, the operation was performed on 22 cases with fracture of the distal femur. Patients were 17 males and 5 females, aged from 5 to 60 years.
Methods of internal fixation of the fracture were as follows.
1) 7 cases were perfrormed with blade plate fixation, including 3 cases fixed with tibia bolt simultaneously.
2) 4 cases were fixed with plate, including 2 cases with tibia bolt fixation.
3) 3 cases were fixed with only tibia bolt.
4) 3 cases were fixed with only screws.
5) 3 cases were fixed with dual intramedullary nails.
6) 2 cases were perfrormed in other methods.
In comparing with these operation methods, dual intramedullary nailing resulted excellent in stability. It's easy to remove the nails, but the indication of the method will be restricted in number.
Technique of the intramedullary nailing is rather difficult.
The crossed scrow fixation cloud be obtained good stability only when used thick one.
T fracture of the condyle should be fixed with blade plate and tibia bolt.
Operation was performed in early stage, revealed better result than in late stage.
Anatomical reduction and firm fixation are important for early exercise to move.
