Open fractures

A 49-year-old male was involved in a high-speed motor vehicle accident and sustained an open distal femur fracture. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture a medial butterfly fragment, comminution and intra-articular extension.

An spanning external fixator was placed to provide initial fracture stabilization and the open wound was irrigated and debrided on multiple occasions. The local medical team then contacted David L. Helfet, MD at the Orthopaedic Trauma Service at the Hospital for Special Surgery to arrange a patient transfer for definitive management of his comminuted distal femur fracture.

Open reduction and Internal Fixation (ORIF) was performed with placement of a locking plate with fixation of the femoral condyles reduction the fractures and restoring alignment and length. He returned for regular follow-up and healed uneventfully. At 1-year following surgery the hardware was removed.

At last follow-up at 1.5 years following fracture surgery he presented with excellent radiographic and clinical results including a healed distal femur fracture, resolution of pain, and a return to pre-injury activities including golf.

  • Figure A

    Figure A

    Anteroposterior (AP) radiographs (left images) and lateral radiographs (right images) revealing a supracondylar distal femur fracture.

    Enlarge

  • Figure B

    Figure B

    CT Scan images further delineating the fracture pattern.

    Enlarge

  • Figure C

    Figure C

    Intraoperative fluoroscopic image following placement of spanning external fixation.

    Enlarge

  • Figure D

    Figure D

    Preoperative plan (left image) and intraoperative fluoroscopic images following open reduction and internal fixation with placement of a femoral locking plate.

    Enlarge

  • Figure E

    Figure E

    AP and lateral radiographs at 6 months post-operative (left images), 16 months (middle images) and 1.5 years (right images). The hardware was removed at 1-year post-operative and the patient resumed all pre-injury activities.

    Enlarge

Tags: ,

Our Patients

  • “The level of expertise and care is beyond imagination. Dr. Helfet is an artist.”

    ~ Herve Duteil

    Read Full Story

  • “It is thanks to them that my pain is kept under control and that I am walking again today.”

    ~ Anika Vorndamme-Cajigal

    Read Full Story

  • “We never would have gotten through this without HSS.”

    ~ Robert Casale

    Read Full Story

  • “I was able to return to my passion, which was skiing big mountains.”

    ~ Tim DiPietro

    Read Full Story

  • “I immediately felt taken care of and safe after a traumatic time.”

    ~ Kathleen Wells

    Read Full Story

  • “I will be forever grateful to these amazing doctors.”

    ~ Olivia D’Angelo

    Read Full Story

  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504