Injuries of Lower Limb
Open reduction and internal fixation of a comminuted intercondylar and superacondylar fracture is justified only if all the following condition can be met except
|A||The joint surfaces can be restored anatomically|
|B||Fixation is sufficiently rigid that a external immobilization is not required|
|C||Fixation is rigid enough to allow early mobilization of the knee|
|D||Soft tissue loss|
Soft tissue loss
a. Open reduction and fixation of the fracture of this type should be done only when suitable instrumentation and expertise are available since extensive exposure and dissection are required.
b. Open reduction and internal fixation are justified only when conditions as described in a, band c are met. So also the skin and soft tissues must be satisfactory for this major surgery, preexistent infection and soft tissue loss preclude surgeries of this nature.