Highly unstable complex C3-type distal femur fracture: can double plating via a modified Olerud extensile approach be a standby solution?
| Autor: | Ayman El-Sayed Khalil, Mostafa A. Ayoub |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Highly unstable C3-type distal femur fracture Multiplanar femoral condyle fractures Ilium Fixation (surgical) Fracture Fixation Internal Young Adult Medicine Humans Orthopedics and Sports Medicine Prospective Studies Autogenous bone Fractures Closed Fractures Comminuted Bone Transplantation business.industry Multiple Trauma Surgery Osteotomy Double plating Orthopedic surgery Distal femur fracture Female Original Article Extensile approach business Bone Plates Femoral Fractures Biomedical engineering Distal femur double plating |
| Zdroj: | Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology |
| ISSN: | 1590-9999 |
| Popis: | Background Multiplanar complex C3-type unstable distal femoral fractures present many challenges in terms of approach and fixation. This prospective study investigates a possible solution to these problems through double plating with autogenous bone grafting via a modified Olerud extensile approach. Materials and methods Twelve patients with closed C3-type injuries were included; eight of them were male, and their mean age was 33.5 years (range 22–44 years). Mechanism of injury was road traffic accident (RTA) in nine patients and fall from height in the other three cases. Eight cases were operated during the first week and four cases during the second week after injury. Mean follow-up was 13.7 months (range 11–18 months). Results Mean radiological healing time was 18.3 weeks (range 12-28 weeks), and all cases had good radiological healing without recorded nonunion or malunion. Clinically, two cases (16.7 %) had excellent results, five cases (41.7 %) had good results, three cases (25 %) had fair results, and two cases (16.7 %) had poor results. No cases developed skin necrosis, deep infection, bone collapse, or implant failure. However, two cases (16.7 %) had limited knee flexion to 90° and required subsequent quadricepsplasty. Conclusions Use of this modified highly invasive approach facilitated anatomical reconstruction of C3-type complex distal femoral fractures with lower expected complication rate and acceptable clinical outcome, especially offering good reconstruction of the suprapatellar pouch area. It can be considered as a standby solution for managing these difficult injuries. |
| Databáze: | OpenAIRE |
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