Distal femoral fracture fixation utilizing the Less Invasive Stabilization System (L.I.S.S.): The technique and early results

Kregor, Philip J.; Stannard, James P.; Zlowodzki, Michael; Cole, Peter A.; Alonso, Jorge E.

doi:10.1016/s0020-1383(01)00182-6

Cited by 208 publications

(159 citation statements)

References 11 publications

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“…Hence it functions like a closed external fixator. 5 The objective of this study is to appraise the outcome of distal femur fractures management with locking compression plate in terms of relief of pain, regain of flexion, and return to function, residual anatomic deformity and radiographic parameters.…”

Section: Introductionmentioning

confidence: 99%

Management of distal femur fractures with locking compression plate: a prospective study

Konuganti

Jakinapally

Rao³

et al. 2018

Int J Res Orthop

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Background: Distal femur fractures need to be treated operatively to achieve optimal outcomes. Different types of internal fixation devices have been used but, the number of revisions for non-union, loss of reduction and implant failure has been high.Methods: This prospective study reviewed 20 cases of distal femoral fractures surgically managed with distal femoral locking compression plate between December 2013 and December 2015 at Mediciti Institute of medical sciences, Ghanpur, Medchal, tertiary care referral and trauma centre. Fractures were categorized according to OTA classification by Muller.Results: Highest number of patients was in their 3rd decade (25%) 18 out of 20 patients had closed injury. Type A2 Muller’s fracture was the most common fracture type 7 out of 20 patients (35%).The mean follow up period in this study was 8 months. The average range of knee flexion achieved was about 109°. The mean score 81.75 points were rated using Neer’s functional score (Max 100). Conclusions: The locking compression plate is the treatment of choice in the management of comminuted distal femoral fractures especially Type A fractures where we have found higher Neer scores. It may not completely solve the age-old problems associated with any fracture like non-union and malunion, but is valuable in the management of these fractures.

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Section: Introductionmentioning

confidence: 99%

Management of distal femur fractures with locking compression plate: a prospective study

Konuganti

Jakinapally

Rao³

et al. 2018

Int J Res Orthop

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“…Due to the angular stable locking of the screws in the plate, the osteosynthesis acts as an 'internal fixator'. The LISS® system showed excellent results in primary and secondary outcome criteria following complex distal femur fractures [4][5][6]. It has been identified though, that the predetermined position of the screws might be a potential drawback to this system.…”

Section: Discussionmentioning

confidence: 99%

“…This system called "Less Invasive Stabilizing System" (LISS®, Synthes Corp., Umkirch, Germany) proved to show excellent results concerning primary and secondary quality criteria (realignment loss, axial deformity, soft tissue damage) [4][5][6]. The LISS® system is characterized by angular stable locking of screws in the plate.…”

Section: Introductionmentioning

confidence: 99%

Mono- versus polyaxial locking plates in distal femur fractures: a prospective randomized multicentre clinical trial

Hanschen¹,

Aschenbrenner²,

Fehske

et al. 2013

International Orthopaedics (SICOT)

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“…Conservative management may result in serious complications such as knee stiffness, inadequate alignment, delayed union or nonunion, prolonged hospitalization and related morbidity [3] . To achieve functional rehabilitation of the limb, surgical treatment should be performed to achieve complete anatomic restoration of the joint surface, adequate anatomical alignment, stable and rigid fixation without external immobilization to allow early mobilization [4,6,7] . Various types of internal fixation have been developed for this purpose.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of distal end femoral fractures in adults with locking compression plate

Ajaz¹,

Benguluri²,

Sundar³

2017

Int. J. Orthop. Sci.

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Objectives: A Study was made to study the functional outcome of Surgical Management of Distal end Femoral Fractures in Adults with Locking Compression Plate. Materials and Methods:In this study 15 patients with closed supracondylar fractures of femur (distal fifteen cm of femur) were studied. All the cases were treated at Deccan College of Medical Sciences, Hyderabad, between November 2013 to March 2015 at our institution and followed for a minimum of 4 months. Results: Excellent results were seen in about 20% patients according to functional outcome -NEER'S scoring. 6 patients had superficial infection and 1 patient had delayed union. Conclusions: Locking Compression Plate is an important armamentarium in treatment of fractures of distal end femur, especially when fracture is severely comminuted and in situations of osteoporosis. Fractures of distal and femur represent 4-6% of all femoral fractures, the traditional concept of internal fixation which requires an extended approach to the fracture fragments is presently being challenged by a more biological, traumatic approach with careful handling of soft tissue envelop and without bone grafting. The ultimate aim in treating these fractures in adult population is to achieve rapid bony union and allow early mobilization. The main Aim of study is to evaluate the results of Surgical Management of Distal end Femoral Fractures in Adults with Locking Compression Plate. Patients with Distal end femur fracture satisfying the inclusion criteria. The proposed study is a hospital based prospective study centered in orthopedic department, Deccan College of Medical Sciences, Hyderabad. The follow up would be for two year with evaluation at 2 weeks, 1 month, 3 months 12 months, and 24 months.

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Distal femoral fracture fixation utilizing the Less Invasive Stabilization System (L.I.S.S.): The technique and early results

Cited by 208 publications

References 11 publications

Management of distal femur fractures with locking compression plate: a prospective study

Management of distal femur fractures with locking compression plate: a prospective study

Mono- versus polyaxial locking plates in distal femur fractures: a prospective randomized multicentre clinical trial

Surgical management of distal end femoral fractures in adults with locking compression plate

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