Long-term functional outcomes after intra-articular distal femur fractures: ORIF versus retrograde intramedullary nailing
| Autor: | Philip J. Kregor, Robin Driver, William T. Obremskey, A. Brian Thomson |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Nonunion law.invention Intramedullary rod Fracture Fixation Internal law Fracture fixation medicine Internal fixation Health Status Indicators Humans Orthopedics and Sports Medicine Femur Malunion Retrospective Studies business.industry Retrospective cohort study Middle Aged medicine.disease Surgery Fracture Fixation Intramedullary Treatment Outcome Orthopedic surgery Female business Femoral Fractures |
| Zdroj: | Orthopedics. 31(8) |
| ISSN: | 0147-7447 |
| Popis: | This retrospective study evaluated the long-term clinical, functional, and radiographic outcomes of traditional open reduction internal fixation (ORIF) versus limited open reduction with retrograde intramedullary nailing for supracondylar-intercondylar distal femur fractures (Arbeitsgemeinschaft fur Osteosynthesefragen [AO] 33-C type). Twenty-three fractures were followed in 22 patients for a mean follow-up of 80 months. The rate of subsequent bone-grafting procedures (67% vs 9%) and malunion (42% vs 0%) were significantly higher in ORIF compared to the less invasive retrograde intramedullary nailing treatment. A nonsignificant trend was noted for increased infection (25% vs 0%) and nonunion (33% vs 9%) in the ORIF group. The physical function component of the SF-36 was approximately 2 standard deviations below the US population mean, and 50% of patients demonstrated radiographic changes of posttraumatic arthritis. No patient has had a subsequent total knee arthroplasty. |
| Databáze: | OpenAIRE |
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