The Fracture Shows A Good Union
Distal femur fractures are also called intercondylar fractures and supracondylar fractures. Former are intra-articular injuries and often need surgical stabilization.
This is an xray of patient who was treated surgically for intercondylar fractures with use of condylar plate as implant.
The fracture has united very well and articular congruity is very well maintained.
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This looks like what is in my left leg now, but for one big addition. The plate and nails are just above a knee prothesis–in that I broke my femur in a car accident six months after having my knee replaced. The prothesis was left in place. The femur was broken right through and there were shards that had to be removed. It is now 5 months post surgery and I am walking with 50% weight on that leg and with a walker. In one more month I go for more xrays. I am hoping I will be allowed to walk with a cane by then. My question is why it hurts more now than it did at the beginning when my leg was in a brace and later when I walked on the leg toe touch. I am hoping it is just that it is healing and putting weight on it hurts. I worry that something might be going wrong. I also wonder what my prognosis is for walking normally in the future. I am 65 and in good health; do not have osteoporosis, but do have osteoarthritis. Had surgery done by renowned surgeon at Hospital for Special Surgery.
Dr Arun Pal Singh Reply:
November 21st, 2009 at 2:59 pm
@Lila Freilicher,
You had what is called periprosthetic fracture. You seem to be progressing well.
Some times the pain at fracture site ( I assume that you have it there) can occur when you increase the weight bearing gradually due to more load being put. This may be the case.
But if the pain is increased substantially, it might be a good thing to consult the doctor.
If your prosthesis was alright and the bone has been aligned well, you can expect a good prognosis after fracture has united.
Consult your doctor if the pain is troubling you.
Hi,
I had same fracture 2 years back on my left thigh and had putted titanium plate with bone grafting. After 9 months the plate got infected and have to remove it. After that I was on external fixetor for 3 months. This is been removed 1 year back and till now not putted any internal fixetor cause chances of infection again. I am 29 and because of age I got good natural bone healing. Now there is very little gap in bone. Should I still wait for natural growth or should I opt for bone grafting ? Will there be any chances of infection again ?
Right now I am walking with 1 stick and quite good weight on left leg , till now there is no pain. But yet a little gap in bone. Please comment.
Dr Arun Pal Singh Reply:
April 30th, 2010 at 10:14 am
@Shabnam Gupta,
I need to see your xrays before I could comment. If you wish you could mail me at
contact [at]boneandspine [dot] com
Update on my November, 2009 question:
It turned out that the break did not heal in 6 months. I was told that I had to have revision surgery with a bone graft, which was done on January 27, 2010. It is now just over 3 months and it is finally healing. I walking with a cane and the prognosis is good. I feel for Mr. Gupta with his problems following surgery. I hope and have to believe that my surgery was done in one of the best hospitals in the world: Hospital for Special Surgery in NYC, and that things will go well for me in the future. It definitely is creepy having so much hardware in my legs. I have severe back problems, long standing–which have intensified from the accident and recuperation period. I am now going to a psychiatrist at HSS.
Always use eyour own bone . never let a Dr. use cadaver bone. It doe not work half the time, and very little more pain getting your own bone from some where
Hi
On 2nd June 2011 my motorcycle crashed & i am highly injured with Femur Fracture Near The Knee. But My Knee had safe in the accident.After the surgery my Doctor told that he had implant to the Plate & Screw arrangement in my femur. but one of the compression screw have come out but my doctor belive that my bones are healing well.at right now my leg is infected at that position where the screw have taken out.i am going to 07th Aug 2011 for X-Ray.Could Any one tell me that after how much time the plate will be taken out
Dr Arun Pal Singh Reply:
August 13th, 2011 at 1:51 pm
@ASHUTOSH KUMAR SHUKLA,
What does your treating doctor say about bone union?
Dear Sir,
Thank You For Giving Me Reply . Sir As per My Doctor Suggestion My Bone Have Healed And He Says That in My Broken leg cancellous Callus have Formed . he Says Within 30 Days My Bone Will Be Properly healed. But I have Lost my Knee Movement & he says that after plate removal my leg will be properly moved.
Dr Arun Pal Singh Reply:
September 8th, 2011 at 7:17 am
@Ashutosh Kumar shukla,
Plate removal is not done until 1-1.5 years after bone heals.