Name of the Procedure:

Closed Treatment of Femoral Fracture, Distal End, Medial or Lateral Condyle, Without Manipulation

Summary

This procedure involves treating a fracture at the distal end (near the knee) of the femur (thigh bone), specifically at the medial or lateral condyle, without physically manipulating the bone. It is a non-surgical approach often involving immobilization with casts or braces.

Purpose

The goal of this procedure is to stabilize the femoral fracture and allow it to heal naturally. It helps to reduce pain and prevent further injury while promoting proper bone healing.

Indications

• Fracture of the distal femur involving the medial or lateral condyle.
• Minimal or no bone displacement.
• Patient is not a candidate for surgery due to medical conditions or preference.

Preparation

• Patients may need to undergo X-rays or other imaging studies to assess the fracture.
• No specific fasting or medication adjustments are typically required.
• Patients should inform their healthcare provider of any medications or health conditions.

Procedure Description

1. The patient is positioned comfortably, and the affected leg is examined.
2. A cast or brace is applied to immobilize the knee and thigh.
3. Regular follow-up appointments are scheduled to monitor healing.
4. Physical therapy may be recommended to maintain muscle strength and joint mobility.

Duration

The initial procedure to apply the cast or brace usually takes about 30 minutes to 1 hour. The overall treatment duration can vary from 6 to 12 weeks, depending on the fracture's healing rate.

Setting

This procedure is typically performed in an outpatient clinic, emergency room, or orthopedic office.

Personnel

• Orthopedic surgeon or trained healthcare provider
• Nurses or medical assistants

Risks and Complications

• Potential for skin irritation or pressure sores from the cast or brace.
• Risk of blood clots due to reduced mobility.
• Possible misalignment of the fracture during healing.
• Rare complications include delayed bone healing or nonunion.

Benefits

• Non-surgical intervention reduces risks associated with anesthesia and surgery.
• Promotes natural bone healing.
• Minimizes pain and prevents further injury.

Recovery

• Patients should keep the immobilized leg elevated and avoid putting weight on it.
• Regular follow-up visits are necessary to monitor progress and adjust the cast or brace.
• Physical therapy might be needed after the cast or brace is removed to restore strength and flexibility.
• Typical recovery time is about 6 to 12 weeks, depending on the individual case.

Alternatives

• Open reduction and internal fixation (surgical intervention with hardware).
• External fixation.
• Each alternative has its own set of risks and benefits that should be discussed with the healthcare provider.

Patient Experience

• Patients might feel discomfort from the cast or brace, especially initially.
• Pain is typically managed with over-the-counter pain relievers.
• Patients may experience a reduced range of motion during the recovery period, but this should improve with physical therapy.