all of the fractures were treated in a single trauma center , using : ( 1 ) a single lateral incision , ( 2 ) internal fixation with asif interfragmentary screws and plates , ( 3 ) bone-grafting of comminuted metaphyseal segments , ( 4 ) impaction of comminuted metaphyseal segments in osteoporotic elderly patients , and ( 5 ) repair of any associated torn ligaments and patellar fractures .
C0016658
fractures
C0476171
comminuted