M.E.Müller: Atlas: Fracture 33-A2

Femur, Distal,
extra-articular fracture,
metaphyseal wedge 0,77% of the total
1,28% of the femur
21,59% of the segment

123 fractures
29,2% group
49%M, 51%F

201 fractures
47,7% group
43%M, 57%F

97 fractures
23,1% group
49%M, 51%F

Intact +Q Fragmented, lateral Fragmented, medial

These are extra-articular fractures of the distal femur with a metaphyseal wedge, multifragmentary, with the fragments being predominantly medial. Ref. Manual of Internal Fixation:
266 - 269. 548 - 552.
Surgeon. RO.

The treatment indications and techniques are identical to those of the previous group. The use of bone graft to substitute the medial bone loss is strongly recommended in this group of fractures. In the illustrated case there is a bridge type callus formation between the

vascularized wedge and the two main fragments because no bone graft was used. One year later, the lack of contact between the medial cortices can still be appreciated in the X-ray.

preoperative preoperative + 4 months

+ 1 year + 2 years + 2 years




						Femur, Distal, extra-articular fracture, metaphyseal wedge	0,77% of the total 1,28% of the femur 21,59% of the segment






These are extra-articular fractures of the distal femur with a metaphyseal wedge, multifragmentary, with the fragments being predominantly medial.		Ref. Manual of Internal Fixation: 266 - 269. 548 - 552. Surgeon. RO.

The treatment indications and techniques are identical to those of the previous group. The use of bone graft to substitute the medial bone loss is strongly recommended in this group of fractures. In the illustrated case there is a bridge type callus formation between the	vascularized wedge and the two main fragments because no bone graft was used. One year later, the lack of contact between the medial cortices can still be appreciated in the X-ray.