Extra Articular Supracondylar Femur Fractures Managed with Locked Distal Femoral Plate or Supracondylar Nailing: A Comparative Outcome Study

Gill, Sps; Mittal, Ankit; Raj, Manish; Singh, Pooja; Singh, Jasveer; Kumar, Santosh

doi:10.7860/jcdr/2017/25062.9936

Cited by 27 publications

(32 citation statements)

References 28 publications

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“…Following the removal of duplicate studies, a total of 4472 studies were available for title and abstract screening (Figure 1). With our inclusion criteria applied and relevant reference lists screened, 117 studies 1,2,4,5,10,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,…”

Section: Resultsmentioning

confidence: 99%

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Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

et al. 2019

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Section: Resultsmentioning

confidence: 99%

“…Of these, 71 studies 2,10,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121 (60.7%) evaluated tibial plateau fractures, 16 studies 14,15,16,17,18,19,20,21,22,23,…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

et al. 2019

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“…Clinical research was performed to compare the efficacy of retrograde IMN (59 cases) and LISS plates (56 cases) in the treatment of distal femoral fractures. The results showed that the techniques were effective for type A fractures, with no significant difference in the implants, and revealed that the outcome largely depended on surgical technique rather than the choice of implant. Many scholars have evaluated the clinical efficacy of LISS plate in the treatment of distal femoral fractures, with clinical healing rates of 85%–100%.…”

Section: Discussionmentioning

confidence: 99%

“…A clinical randomized prospective study compared the outcomes for LISS plate versus retrograde IMN in the management of extra articular supracondylar femur fractures, and indicated that the complication rates were equivalent between them. The retrograde IMN achieved earlier union as well as better functional outcomes, and it was suggested that surgical planning and expertise rather than the choice of implant were crucial for optimal results. LISS plate and retrograde IMN are universally adopted options for clinical treatment of comminuted femoral supracondylar fractures, and clinical results have demonstrated good clinical performance.…”

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Comparison of Less Invasive Stabilization System Plate and Retrograde Intramedullary Nail in the Fixation of Femoral Supracondylar Fractures in the Elderly: A Biomechanical Study

Wang³

et al. 2019

Orthopaedic Surgery

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Objective To compare the biomechanical stabilities of less invasive stabilization system (LISS) plate and retrograde intramedullary nail (IMN) for the comminuted femoral supracondylar fracture fractures in the elderly. Methods Sixteen pairs of embalmed cadaver femurs were obtained to simulate a comminuted supracondylar femur fracture (AO/OTA33‐A3) gap model. All left‐side specimens were fixed with LISS plate, and retrograde IMN were applied to the right‐side specimens. All specimens were tested in torsional, axial and cyclic load mode on an Instron testing machine. Results The mean torsional stiffness for LISS plate group was 34.1% greater than retrograde IMN group (2.90 vs. 1.91 Nm/degree, P = 0.002), but the mean axial stiffness was greater for the retrograde IMN (199.16 vs. 303.93 N/mm, P < 0.001). The total deformation of LISS plate caused by cyclic axial loading was greater than retrograde IMN (4.17 vs. 3.57 mm, P = 0.014). Significantly less mean irreversible deformation was detected in LISS plate than in retrograde IMN (1.64 vs. 1.69 mm, P = 0.699). Failure loads of the constructs were significantly different between the two groups (LISS plate: 2941±128 N; retrograde IMN: 4022±176 N, P < 0.001). Conclusion For comminuted femoral supracondylar fractures in the elderly, the tested instruments can both maintain sufficient biomechanical stabilities, but retrograde IMN is superior to LISS plate in deformation of fracture site.

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“…Treatment of distal femoral fractures by minimally invasive percutaneous plate osteosynthesis (MIPPO) using anatomically contoured plates without direct exposure of the fracture fragments leads to better clinical outcomes compared with the traditional open reduction techniques; however, these submuscular plating methods are considered technically challenging. [1,2] Fitting the plate in the correct position while completion of alignment in all three axes can be cumbersome even to the experienced surgeons, and technical errors are not forgiving. [3] Reduction without using the plate is particularly challenging when performing minimally invasive surgery since bone exposure is very limited.…”

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Fit assessment of two different anatomically contoured distal femur plate sets on cadaveric bones

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et al. 2019

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada iki anatomik distal femur plağının kadavra femurlarıyla uyumluluğu araştırıldı ve mevcut plakların her femura en iyi şekilde uyup uymadığı gösterildi. Gereç ve yöntemler: Gövdesinde beş, yedi ve dokuz deliği olan iki farklı plak seti 62 kadavra femuruna uygulandı. Plakların tüm iç yüzeyleri seramik çamuruyla sıvandı, sonra plaklar iki adet kendinden kilitli naylon kablo bağı kullanılarak kemiklere sabitlendi. Plak ve kemik arasında sıkıştırılan seramik çamurunun hacmi hesaplanarak nicel uyum parametresi olarak kullanıldı. Her plağın verileri ayrı ayrı analiz edildi. Bulgular: Double Medical Technology Incorporated TM plakları kullanıldığında, plak ile kemik arasındaki hacim ortalamaları beş, yedi ve dokuz delikli plaklarda sırasıyla 8.4 mL (dağılım, 5-14 mL), 10.0 mL (dağılım, 6-17 mL) ve 13.1 mL (dağılım, 7-25 mL) olarak hesaplandı. Zimmer Biomet Incorporated TM plakları kullanıldığında, hacim ortalamaları beş, yedi ve dokuz delikli plaklarda sırasıyla 10.5 mL (dağılım, 6-21 mL), 12.7 mL (dağılım, 7-22 mL) ve 16.3 mL (dağılım, 8-30 mL) idi. Her grup içinde, ölçümler femur uzunluğu ile pozitif olarak anlamlı şekilde bağıntılı idi. Sonuç: Mevcut distal femur plağı implant setleri kullanılarak her femurda en iyi uyum elde edilemeyebilir. Bu nedenle, implant setlerinde ilave boyutlarda plaklar sağlanmalıdır.Anahtar sözcükler: Kadavra kuru femur kemiği, kilitli plakların uygunluğu, distal femur plağı, uyum değerlendirme parametresi, plak kemik uyumu; önceden şekillendirilmiş plak uyumu, nicel uyum parametresi. ABSTRACTObjectives: This study aims to investigate the fitness of two anatomic distal femoral plates with cadaveric femurs and to show whether current plates optimally match each femur. Materials and methods: Two different sets of plates with five, seven and nine shaft holes were applicated on 62 cadaveric femurs. Ball clay was molded onto the entire inner surfaces of the plates and then the plates were fixed to the bones using two self-locking nylon cable zip ties. The volume of ball clay sandwiched in between the plate and bone was calculated and used as a quantitative fit parameter. Data of each plate were analyzed separately. Results: Using Double Medical Technology Incorporated TM plates, the mean plate to bone volumes were calculated as 8.4 mL (range, 5-14 mL), 10.0 mL (range, 6-17 mL), and 13.1 mL (range, 7-25 mL) in five, seven and nine-hole plates, respectively. Using Zimmer Biomet Incorporated TM plates, the mean volumes were 10.5 mL (range, 6-21 mL), 12.7 mL (range, 7-22 mL) and 16.3 mL (range, 8-30 mL) in five, seven and nine-hole plates, respectively. Within each group, the measurements were significantly correlated positively with femoral length. Conclusion: Optimal fit may not be achieved in each femur using current distal femoral plate implant sets. Thus additional sizes of plates should be supplied in the implant sets.Keywords: Cadaveric dry femur bone, congruency of locking plates, distal femur plate, fit assessment parameter, plate bone fit, precontoured plate fit, quanti...

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Extra Articular Supracondylar Femur Fractures Managed with Locked Distal Femoral Plate or Supracondylar Nailing: A Comparative Outcome Study

Cited by 27 publications

References 28 publications

Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

Prevalence of Deep Surgical Site Infection After Repair of Periarticular Knee Fractures

Comparison of Less Invasive Stabilization System Plate and Retrograde Intramedullary Nail in the Fixation of Femoral Supracondylar Fractures in the Elderly: A Biomechanical Study

Fit assessment of two different anatomically contoured distal femur plate sets on cadaveric bones

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