Comminuted Type I Open Distal Femur Fracture

A 13 year old male suffered a comminuted type I open left distal femoral metaphyseal fracture. The fracture pattern and location made traditional treatment methods difficult to use. A “no touch” closed reduction of the left distal femoral fracture was performed using a Taylor Spatial Frame (TSF). This technique avoids the zone of injury and does not further devascularize any of the fracture fragments. With a stable frame, weight bearing can be started immediately. The comminuted fracture healed anatomically and without bone grafting in 4 months.