[Surgical treatment of distal femoral fractures using extra-medullary osteosynthesis]
| Autor: | G, Lamraski, D, Toussaint, J, Bremen |
|---|---|
| Jazyk: | francouzština |
| Rok vydání: | 2001 |
| Předmět: |
Adult
Fracture Healing Male Bone Transplantation Adolescent Bone Screws Osteogenesis Distraction Middle Aged Prognosis Radiography Fracture Fixation Internal Treatment Outcome Risk Factors Fractures Ununited Activities of Daily Living Humans Female Bone Plates Femoral Fractures Fractures Malunited Aged Retrospective Studies |
| Zdroj: | Acta orthopaedica Belgica. 67(1) |
| ISSN: | 0001-6462 |
| Popis: | Forty seven fractures of the distal femur treated by internal fixation using a supracondylar compression screw or blade plate were retrospectively evaluated regarding their radiological and functional results. Blade plates were used for all types of distal femoral fractures until 1992; their indications were subsequently restricted to simple supracondylar fractures whereas a compression screw was preferred for other types of fractures. Taking into account the condition of the patients before fracture, 85% good and very good results were achieved with both techniques. Malunions resulted in poor functional outcomes (50% good and very good results). Malunions were mainly observed in patients with complex fractures (90% of cases with malunion), which confirms the poor prognosis of comminuted fractures. Nonunions (65%) and infection (3%) resulted in poor functional results. The presence of a bony defect in the medial femoral cortex increases the risk of nonunion; bone grafting should be used in such cases. The recent use of a long femoro-femoral external distractor in a few patients has proved of value as it allowed to achieve accurate reduction and considerably eased fracture reduction and fixation. |
| Databáze: | OpenAIRE |
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