case_images: PMC11723753_01
case_images: Injury Radiographs; Anteroposterior (a) and lateral (b) radiographs of a comminuted supracondylar, intra-articular distal femur fracture (sagittal intercondylar split) [AO/OTA 33A3.3].
case_images: JOCR-15-46-g001.jpg
case_images: PMC11723753_01_JOCR-15-46-g001.jpg
case_images: F1
case_images: Plain radiographic images were obtained of her left femur and knee demonstrating a comminuted supracondylar distal femur fracture with a sagittal intercondylar split (OTA classification 33A3.3) (Fig. 1a and b).
case_images: Injury CT Scan; An axial (a), coronal (b), and sagittal (c) CT scan of comminuted supracondylar, intra-articular distal femur fracture (sagittal intercondylar split) [AO/OTA 33A3.3].
case_images: JOCR-15-46-g002.jpg
case_images: PMC11723753_01_JOCR-15-46-g002.jpg
case_images: F2
case_images: A CT scan of her knee was obtained confirming her radiographic findings (Fig. 2a-c) and air around the fracture site.
case_images: Intraoperative Radiographs; Anteroposterior (A) and lateral (B) intraoperative fluoroscopy of retrograde femoral nail in combination with distal femur locking plate along with anteroposterior intraoperative fluoroscopy of a femoral neck reinforcement screw originating from proximal portion of distal femur locking plate [C].
case_images: JOCR-15-46-g003.jpg
case_images: PMC11723753_01_JOCR-15-46-g003.jpg
case_images: F3
case_images: Through the anterolateral incision, a distal femur locking plate was applied to the bone and a series of locking screws were placed proximally and distally (Fig. 3a and b). Due to the patient's pathological fracture secondary to osteoporosis, a reinforcement screw was placed from the plate across her femoral neck and head to minimize the risk of future fracture in this area (Fig. 3c).
case_images: Patient ambulating; patient ambulating with the use of a walker at 3 months post-operatively.
case_images: JOCR-15-46-g004.jpg
case_images: PMC11723753_01_JOCR-15-46-g004.jpg
case_images: F4
case_images: At 3 months follow-up, she reported minimal pain and was independently ambulating with a walker (Fig. 4).
case_images: Nine-month post-operative radiographs; anteroposterior (a) and lateral (b) radiographs at 9 months postoperatively demonstrating bony union across the fracture site.
case_images: JOCR-15-46-g005.jpg
case_images: PMC11723753_01_JOCR-15-46-g005.jpg
case_images: F5
case_images: Her X-rays demonstrated union at the fracture site with consolidation of her callus on three out of four cortices (Fig. 5a and b).