Blade-Plating of Closed Displaced Supracondylar Fractures of the Distal Femur with the AO System

Merchan, E. C. Rodríguez; Maestu, Pilar Rodríguez; Blanco, Ramon P.

doi:10.1097/00005373-199202000-00010

Cited by 76 publications

(34 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An overall complication rate of approximately 35% was described by Merchan et al [28] and others using the AO system for blade-plating of closed displaced supracondylar fractures. Angular malreduction was not exceptional despite initial correct reduction [1,6,30].…”

Section: Introductionmentioning

confidence: 95%

“…Other groups reported that the subsequent failure of the nutritive blood circulation resulted in a high incidence of complications [28,29]. The use of Limited Contact Dynamic Compression Plate (LC-DCP) leads to an enhanced early restoration of the periosteal blood supply with callus formation, the iatrogenic destruction of the soft tissue, however, remaining the major disadvantage of the extramedullary stabilization technique.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrograde Nailing of Distal Femoral Fracture – Clear and Potential Indications

Walcher¹,

Frank²,

Marzi

2000

Eur J Trauma

View full text Add to dashboard Cite

Despite the fact that fracture treatment of the supracondylar region of the femur is known to be a therapeutic challenge, a high incidence of complications was reported with extramedullary osteosynthesis. New techniques of biological osteosynthesis and specific implants have been developed to improve treatment of supra-and diacondylar fractures of the femur. In the present series, we report on various clear indications for the use of the distal femur nail (DFN). Moreover, some potential indications for the DFN are presented and their advantages discussed. Clinical evaluation demonstrated that 92% of the fractures treated with the DFN healed without bone grafting, and the clinical results were excellent or satisfactory according to the criteria of Neer et al. Failure of the technique or infection was not observed. Based on our results, we feel that retrograde nailing of the femur, either with percutaneous or open techniques, is a suitable additition to the established techniques of osteosynthesis of the distal femur.

show abstract

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Retrograde Nailing of Distal Femoral Fracture – Clear and Potential Indications

Walcher¹,

Frank²,

Marzi

2000

Eur J Trauma

View full text Add to dashboard Cite

show abstract

“…High success rates for both approaches have been reported. 12,16,18,39 However ,when performing lengthening during repair of the nonunion both types of fixation have limitations. Plates have a high risk of implant failure and intramedullary nails need a static mode and sufficient rigidity to prevent shortening and deformation.…”

Section: Discussionmentioning

confidence: 99%

“…19,39 Surgery is the preferred treatment for femoral supracondylar fractures, and the surgical approaches advocated to date for these fractures rely on plate and screw fixation or intramedullary nailing. 12,16,18,39 The supracondylar region of the femur is comprised largely of cancellous bone that has excellent healing potential. However, in many cases, the enlarged bony contour, thin cortices, and concomitant osteoporosis frequently make stable fixation difficult.…”

mentioning

confidence: 99%

Femoral Supracondylar Malunions with Varus Medial Condyle and Shortening

Wu¹

2007

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Femoral supracondylar malunions associated with varus deformity of the medial femoral condyle and shortening are rare, and all techniques for treatment of this complication reported to date have limitations. A one-stage antegrade locked intramedullary nailing technique to concomitantly treat these combined disorders was performed in 19 consecutive patients. The following procedures were performed: removal of previous implants, supracondylar corrective osteotomy, one-stage lengthening on a fracture table, antegrade static locked intramedullary nail stabilization, and corticocancellous bone grafting. Seventeen patients with malunions received regular followup for a median of 2.4 years (range, 1.1-5.2 years). Sixteen malunions healed with a union rate of 94.1% (16 patients) and a median union period of 4.5 months (range, 3-7 months). Only one nonunion associated with nail breakage occurred (5.9%; one patient) and one deep infection recurred (5.9%; one patient). Both patients recovered after appropriate treatment. All patients had improved knee alignment and function. Antegrade locked intramedullary nailing is an effective technique for one-stage treatment of combined disorders in patients with femoral supracondylar malunions. Complications can be avoided if patients and surgeons are careful during the treatment course. Protected weightbearing until fracture healing is crucial to successful treatment.

show abstract

“…[33] Tedavide amaç ağrısız, hareket edebilen bir diz eklemi elde etmektir. Protez çevresi suprakondiler femur bölgesi kırıklarında kondiler destek plakları, [38] kamalı plaklar, [39] dinamik kondiler plaklar, [40] retrograd intramedüller çiviler, [41,42] rush rodları, [43] eksternal fiksatör-ler, [44] uzun stemli protezle revizyon artroplastisi, [45] minimal invaziv uygulanabilen kilitli plaklar, [46] gibi implant seçenekleri bulunmaktadır. Bunlardan özel-likle minimal invaziv uygulanabilen kilitli plak sistemleri ve retrograd intramedüller çiviler minimal invaziv osteosentez prensiplerine uygunluğu nedeniyle avantajlıdır ve sıklıkla kullanılmaktadır.…”

Section: Periprotezik Distal Femur Kırıklarında Tespit Yöntemleriunclassified

Minimal invasive surgical treatment of distal femur fractures

Akşahin¹

2012

TOTBİD Dergisi

View full text Add to dashboard Cite

Distal femur kırıklarının cerrahi tedavisinde, mutlak anatomik redüksiyon sonrası konvansiyonel plaklama, günümüzde yerini, kırık biyolojisinin daha iyi korunduğu tespit yöntemlerine bırakmıştır. Genç hastalarda sıklıkla yüksek enerjili travmalarla, yaşlı ve osteoporotik hastalarda ise düşük enerjili travmalarla oluşan bu bölge kırıklarının tedavisinde başarı şansını biyolojinin korunması kadar, biyomekanik olarak daha güçlü ve temel minimal invaziv osteosentez prensiplerine uygun implantların kullanımı da artırmaktadır. Özellikle eklem tutulumunun da olduğu distal femur kompleks kırıkla-rının cerrahi tedavisinde, bir taraftan kırık biyolojisinin korunmaya çalışılması, diğer taraftan da eklem yüzeyi-nin tam anatomik onarımının amaçlanması, çoğu kez ikilem yaşanmasına neden olmaktadır. Bu derlemede, distal femur kırıklarında özellikle minimal invaziv osteosentez için kullanılan implantlar ve temel minimal invaziv osteosentez prensiplerine uygun kullanımları irdelenmiştir.Anahtar sözcükler: Distal; femur; minimal invasiv cerrahi.• İletişim adresi: Dr. Ertuğrul Akşahin. Ankara Numune Eğitim ve Araştırma Hastanesi 3. Ortopedi ve Travmatoloji Kliniği,

show abstract

Blade-Plating of Closed Displaced Supracondylar Fractures of the Distal Femur with the AO System

Cited by 76 publications

References 0 publications

Retrograde Nailing of Distal Femoral Fracture – Clear and Potential Indications

Retrograde Nailing of Distal Femoral Fracture – Clear and Potential Indications

Femoral Supracondylar Malunions with Varus Medial Condyle and Shortening

Minimal invasive surgical treatment of distal femur fractures

Contact Info

Product

Resources

About