External fixation in the treatment of supracondylar femoral fractures

Galante, V; Moretti, Biagio; Conserva, Vito; Battista, G; Patella, Vittorio; Simone, C. De

doi:10.1016/s0968-0160(99)00003-4

Cited by 1 publication

(3 citation statements)

References 13 publications

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“…However, complications, such as pin tract sepsis, knee stiffness, delayed healing, and reduction loss have restricted wide use of this technique. 8,22 External fixation for correcting the distal femo Fig 2A-B. (A) A 38-year-old man (Patient 18) sustained a left comminuted femoral supraintercondylar fracture during a motorcycle accident. The fracture was treated with a buttress condylar plate and healed with a malunion.…”

Section: Discussionmentioning

confidence: 99%

“…However, complications associated with external fixation may occur unexpectedly. 8,9,22 Therefore, each technique has advantages and disadvantages. Intramedullary nailing presents several theoretical advantages for lengthening and healing of nonunions and as such is an attractive technique for these difficult cases.…”

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confidence: 99%

“…8 If concomitant lengthening is necessary and the cortex has no contact, then insufficient stability may greatly delay the bony healing time, and increase the amount of pain and the complication rate. Thus, it is my opinion that internal fixation has a distinct advantage and the one-stage approach presented in this study can attain a predictable success rate.…”

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confidence: 99%

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Femoral Supracondylar Malunions with Varus Medial Condyle and Shortening

Wu¹

2007

Clinical Orthopaedics &Amp; Related Research

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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.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%