Any comments on mangement of this fracture in a 92 yr old bedridden patient post CVA with bed sores presented to an orthopedic colleague. any comments on manging this case provided the reatives are willing to take the risk.
1. Leave alone on splint and analgesia. Cons- die in pain for the last days of her life
2.Excise and one stage distal femoral tumour prosthesis. The cons include cost, infection risk and fracture above the stem as well as intraop cement related problems. pros include quick surgery and can mobilise if ever possible.
3. Indirect reduction- supracondylar nail with an addtional locking plate with or without cement to enhance stabilty
any other suggestions are welcome
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