Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach

Wu, Xing; Lin, Wei; Dai, Jia Le; Kong, Zhigang; Wang, Yanfeng; Sun, Lei; Zhang, Zhiguo; Sun, Liang

doi:10.1186/s13018-018-0756-7

Cited by 8 publications

(5 citation statements)

References 24 publications

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“…However, the lateral approach may result in insufficient posterior exposure, making fixation based on the AO principle difficult. Another study reported that lateral plate fixation was performed using a posterolateral approach [9] , and intra-articular exposure was considered difficult. Another study reported that osteotomy of Gerdy's tubercle is useful for the extensive expansion of Hoffa fragments and reduction of the articular surface [10] , the risk of osteotomy fragment nonunion remains.…”

Section: Discussionmentioning

confidence: 99%

Double plating via anterolateral and posterolateral approach for distal femoral fracture

Yamakawa¹,

Masada²,

Okuda³

et al. 2023

Trauma Case Reports

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Section: Discussionmentioning

confidence: 99%

Double plating via anterolateral and posterolateral approach for distal femoral fracture

Yamakawa¹,

Masada²,

Okuda³

et al. 2023

Trauma Case Reports

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“…In a study of 16 postpolio patients, a locked compression plate was applied to distal femur fractures [10] . Locked compression plates are one of the gold standard treatment modalities in distal femoral fractures [11] . However, anatomic locking plates or intramedullary nailing may not be appropriate for postpolio fractures, so custom-made implants or implants for different anatomic regions are recommended for postpolio femoral fractures [12] .…”

Section: Discussionmentioning

confidence: 99%

Strategies in the management of femoral fractures in post-polio limb a retrospective analysis of 10 patients with 3-year follow-up

AN¹,

R²,

Muthu³

2022

Int. J. Orthop. Sci.

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Background: Out of 10-20 million people in the world with post-polio sequelae, around 6.5 million of them are in India. Due to its eradication, survivors have lived through their life and crossed 40-50 years of age. Falls and subsequent fractures are common in these patients, which are difficult to manage and cause considerable morbidity. We conducted this study to analyze the various strategies used in the management of fractures in a post-polio limb. Methods: This is a retrospective study analyzing a total of 10 adult patients with post-polio sequelae complicating the fractured limb which was managed with varied treatment options such as locking compression plate, dynamic hip screw, and hemiarthroplasty. The functional status of the patient was evaluated with Vignos grade of disability. Results: All the patients (mean age of 34 ±12 years ) were treated with extramedullary internal fixation devices such as locking compression plating in 6 patients, dynamic hip screw fixation in 1 patient, cancellous screw fixation in 2 patients, and total hip replacement in one patient. Of the 10 cases, 8 were fresh fractures, and 2 presented with a failed fixation for repeated fracture sustained later on. The mean follow-up period was 37.8 ±16.4 months. Bony union was attained at a mean duration of 3.5 ±1.4 months in all the patients undergoing fracture fixation. None of the included had secondary implant failure or other complications. Conclusion: Patients with limbs involving post-polio sequelae are more prone to fractures and are difficult to manage using the standard treatment protocols. Extramedullary internal fixation device provides effective stability for bony union and optimal functional results without major complications in these small, deformed, osteoporotic, and hypo-vascularized femurs.

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“…In addition, positioning of the patient over a fracture table for nailing and applying traction is difficult because of flexion deformity at knee [ 16 ]. Locked compression plates are one of the gold standard treatment options in distal femur fractures [ 17 ] which was also proved to be true in poliotic distal femur fractures [ 7 ]. Since poor blood supply and bone healing capacity were anticipated, absolute stability rather than relative was given preference.…”

Section: Discussionmentioning

confidence: 99%

Femur Shaft Fracture in a Polio Patient

Wagh¹,

Shetty²,

Wagh³

et al. 2022

JOCR

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Introduction:Although poliomyelitis is on the verge of eradication, the survivors of this disease are still living with its complications. Polio survivors with its musculoskeletal complications will continue to be a part of our population for many more decades’. Although poliomyelitis in itself is not common today, fractures in polio affected patients’ limbs are a common entity and are difficult to manage with common fracture management protocols. Case Presentation: This study presenting a case of 58-year-old male with alleged history of twisting of the right lower limb while walking. X-rays suggested fracture right shaft femur. Patient had a history of poliomyelitis with the right lower limb affection and had a fixed flexion deformity of 15 at the right knee joint. The patient had to undergo two surgeries. In the first procedure, distal femur plating was done through lateral approach. Due to radiological signs of non-union, in the next procedure, additional medial plate was added and bone grafting was done to ensure stable fixation and union. Conclusion: Treating a fracture in a polio affected limb is a challenging task taking into consideration the previous bony deformity as well as the myopathy. Knowledge of treating these fractures as well as pre-operative planning is important to a trauma surgeon as such scenarios are not very rare.

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Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach

Cited by 8 publications

References 24 publications

Double plating via anterolateral and posterolateral approach for distal femoral fracture

Double plating via anterolateral and posterolateral approach for distal femoral fracture

Strategies in the management of femoral fractures in post-polio limb a retrospective analysis of 10 patients with 3-year follow-up

Femur Shaft Fracture in a Polio Patient

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