Modern retrograde intramedullary nails versus periarticular locked plates for supracondylar femur fractures after total knee arthroplasty.

Autor: Meneghini RM; Department of Orthopaedic Surgery Indiana University School of Medicine, Indianapolis, Indiana., Keyes BJ; Department of Orthopaedic Surgery Indiana University School of Medicine, Indianapolis, Indiana., Reddy KK; Department of Orthopaedic Surgery Indiana University School of Medicine, Indianapolis, Indiana., Maar DC; Indiana Orthopaedic Hospital-OrthoIndy, Indianapolis, Indiana.
Jazyk: angličtina
Zdroj: The Journal of arthroplasty [J Arthroplasty] 2014 Jul; Vol. 29 (7), pp. 1478-81. Date of Electronic Publication: 2014 Jan 28.
DOI: 10.1016/j.arth.2014.01.025
Abstrakt: This study purpose is to analyze outcomes of modern intramedullary (IM) nails with a locked distal screw versus periarticular locking plates for peri-prosthetic supracondylar femur fractures in TKA. Ninety-five consecutive fractures in 91 patients were retrospectively reviewed. Fixation included 29 knees with a retrograde IM nail and 66 periarticular locked plates. Six patients died and 4 were lost to follow-up. There were 2 (9%) nonunions in the IM nail group and 12 non-unions/delayed-unions (19%) in the locked plate group (P = 0.34). A mean of 5.0 distal screws was used in locked plates versus 3.8 distal screws in the IM nails (P < 0.001). Despite a greater quantity of screws in the distal fragment, the failure rate of locked plating was twice that of IM nail fixation.
(Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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