Supracondylar fractures of the femur: results of treatment of 61 patients

J Halpenny, C H Rorabeck
Canadian Journal of Surgery. Journal Canadien de Chirurgie 1984, 27 (6): 606-9
A retrospective study of 61 fractures (60 patients) involving the supracondylar and intercondylar areas of the femur was made. All patients were younger than 60 years and sustained their injuries in motor vehicle accidents. Follow-up was from 1 to 9 years (mean 30 months). Clinical results of operative and nonoperative treatment were compared with respect to knee motion, pain and function. Extra-articular (type A) fractures had superior clinical ratings if treated operatively (45% excellent and 30% unsatisfactory). Intra-articular (type B) fractures had a substantial number of unsatisfactory ratings (45%) and results of operative and nonoperative treatment were comparable. Fractures of one condyle only did best with open reduction and internal fixation. Rates of nonunion were low (7%); malunion in varus led to poorer overall function. The most important factor for acceptable function was early knee mobilization. Early motion of the knee and quadriceps rehabilitation are facilitated by operative management or use of the cast brace.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.