This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by NEER, C. S.
Right arrow Articles by SHELTON, M. L.
Right arrow Search for Related Content
PubMed
Right arrow Articles by NEER, C. S., II
Right arrow Articles by SHELTON, M. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1967;49:591-613.
© 1967 by The Journal of Bone and Joint Surgery, Inc

Supracondylar Fracture of the Adult Femur

A STUDY OF ONE HUNDRED AND TEN CASES

CHARLES S. NEER II M.D.1, S. ASHBY GRANTHAM M.D.1, and MARVIN L. SHELTON M.D.1

1 From the Department of Orthopaedic Surgery, College of Physicians and Surgeons, Columbia University, and the New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, and the Fracture Service, Harlem Hospital Center, New York

The clinical findings and pathological anatomy of 110 fractures through the lower three inches of the femur are presented. A classification based upon the type of displacement (Fig. 1) was thought to be more descriptive of the problem than the terms supracondylar and dicondylar alone. Each category presented clinical characteristics which are described. Seventy-seven fractures were followed for from one year to twenty-four years after injury. The results, graded by a numerical rating system, are considered according to anatomical classification. The results in patients treated by internal fixation are compared with those in patients treated by closed methods. No category of fracture at this level seemed well suited for internal fixation, and sufficient fixation to eliminate the need for external support or to shorten convalescence was rarely attained. The majority of serious local complications occurred after this form of treatment and, of twenty-nine patients so treated and evaluated, only 52 per cent obtained a satisfactory rating. Closed treatment yielded satisfactory results in 90 per cent of the forty-eight patients evaluated and in 84 per cent of those with displaced supracondylar fractures. Functional recovery was slow in patients with Group II-A and Group III injuries. Common errors in the management of tibial traction, noted during this study, supplemented by laboratory and cineroentgenographic observations, are discussed.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
G. M.M.J. Kerkhoffs, M. V. Rademakers, M. Altena, and R. K. Marti
Combined Intra-Articular and Varus Opening Wedge Osteotomy for Lateral Depression and Valgus Malunion of the Proximal Part of the Tibia
J. Bone Joint Surg. Am., June 1, 2008; 90(6): 1252 - 1257.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
E. T. Su, H. DeWal, and P. E. Di Cesare
Periprosthetic Femoral Fractures Above Total Knee Replacements
J. Am. Acad. Ortho. Surg., January 1, 2004; 12(1): 12 - 20.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
A. G. King and G. Blundell-Jones
A surgical procedure for the Osgood-Schlatter lesion
Am. J. Sports Med., July 1, 1981; 9(4): 250 - 253.
[Abstract] [PDF]