Successful results of minimally invasive surgery for comminuted supracondylar femoral fractures with LISS: comparative study of multiply injured and isolated femoral fractures

Kayalı, Cemil; Ağuş, Haluk; Turgut, Ali

doi:10.1007/s00776-007-1156-8

Cited by 49 publications

(40 citation statements)

References 24 publications

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“…The authors of some of these studies reported late failures of diaphyseal fixation and implants but did not include them in the nonunion rates [18][19][20] . However, 52% of the implant failures in eight studies in which the authors reported the timing of these failures occurred more than six months after the index procedure 19,20,33,34,[37][38][39][40] , indicating that the failure was the result of implant fatigue in the presence of an established nonunion. Proper identification of late implant failures as nonunions in studies of locked plates should further raise the concern that locked-plate constructs may be too stiff to promote reliable healing.…”

Section: Discussionmentioning

confidence: 99%

Effects of Construct Stiffness on Healing of Fractures Stabilized with Locking Plates

Bottlang

Doornink

Lujan

et al. 2010

Journal of Bone and Joint Surgery

180

149

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Section: Discussionmentioning

confidence: 99%

Effects of Construct Stiffness on Healing of Fractures Stabilized with Locking Plates

Bottlang

Doornink

Lujan

et al. 2010

Journal of Bone and Joint Surgery

180

149

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“…Locking plates for internal fixation of distal femur fractures have largely replaced intramedullary nails, blade plates, and condylar screws [11]. Reported clinical nonunion rates after treatment of distal femur fractures with locking plates vary between 0% and 10% [6,7,11,16,20,27,29].…”

Section: Introductionmentioning

confidence: 99%

“…Reported clinical nonunion rates after treatment of distal femur fractures with locking plates vary between 0% and 10% [6,7,11,16,20,27,29]. Difficulties with fracture healing in the distal femur may present clinically as delayed union, hardware failure, loss of alignment, or an established nonunion.…”

Section: Introductionmentioning

confidence: 99%

2010 Mid-America Orthopaedic Association Physician in Training Award: Healing Complications Are Common After Locked Plating for Distal Femur Fractures

Henderson

Lujan²,

Kuhl

et al. 2011

Clinical Orthopaedics &Amp; Related Research

193

143

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Background Several mechanical studies suggest locking plate constructs may inhibit callus necessary for healing of distal femur fractures. However, the rate of nonunion and factors associated with nonunion are not well established. Questions/purposes We (1) determined the healing rate of distal femur fractures treated with locking plates, (2) assessed the effect of patient injury and treatment variables on fracture healing, and (3) compared callus formation in fractures that healed with those that did not heal. Patients and MethodsWe retrospectively reviewed 82 patients treated with 86 distal femur fractures using lateral locking plates. We reviewed all charts and radiographs to determine patient and treatment variables and then determined the effects of these variables on healing. We quantitatively measured callus at 6, 12, and 24 weeks.The minimum time for telephone interviews and SF-36v2 TM scores was 1 year (mean, 4.2 years; range, 1-7.2 years). Results Fourteen fractures (20%) failed to unite. Demographics and comorbidities were similar in patients who achieved healing compared with those who had nonunions. There were more empty holes in the plate adjacent to fractures that healed; comminuted fractures failed to heal more frequently than less comminuted fractures. Less callus formed in fractures with nonunions and in patients treated with stainless steel plates compared with titanium plates. Complications occurred in 28 of 70 fractures (40%), 19 of which had additional surgery. Conclusions We found a high rate of nonunion in distal femur fractures treated with locking plates. Nonunion presented late without hardware failure and with limited callus formation suggesting callus inhibition rather than hardware failure is the primary problem. Mechanical factors may play a role in the high rate of nonunion. Level of Evidence Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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“…17 Overall results were excellent in 5 out of 21 cases and were satisfactory in remaining cases except one. The overall average knee score in our study was 80, which was higher than that seen in by Schandelmaier et al (67.7).…”

Section: Discussionmentioning

confidence: 80%

Outcome of distal femoral fractures treated with locking compression plates

Girisha¹,

Manchani²,

Shah³

et al. 2017

Int J Res Orthop

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Background: Fixation of distal femoral fractures with a lateral plate alone is associated with nonunion and/or malunion with varus collapse. Locking compression plates may reduce the tendency of varus collapse. Hence, we evaluated the union rates and functional and anatomical outcome in patients of distal femoral fractures who were treated with locking compression plates.Methods: This prospective study was conducted at a tertiary health care center at Bangalore between July 2010 and June 2012. Patients with distal femoral fractures were treated with locking compression plates and were followed up for at least 6 months. Outcomes were evaluated using Neer’s score to assess outcomes in adult distal femoral fractures.Results: The study included 22 patients (10 males and 11 females) among whom one patient was lost to follow up within 6 months after the procedure. All the fractures were post-traumatic. Nineteen (91%) patients had closed fractures whereas two (9%) had open fractures. Muller’s A1 type was the most common (n=7) type of fracture followed by C2, C1, A2 (n=4 each) and B1, A3 (n= 1 each). Median duration of follow-up was 8 months (range: 6-18 months). The mean NEER’s functional score was 80 points. Overall results were excellent in 5 (24%) out of 21 cases and were satisfactory in 15 (71%) cases and only one had an unsatisfactory result.Conclusions: Locking compression plates offer excellent-satisfactory outcome in patients with distal femoral fractures.

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Successful results of minimally invasive surgery for comminuted supracondylar femoral fractures with LISS: comparative study of multiply injured and isolated femoral fractures

Cited by 49 publications

References 24 publications

Effects of Construct Stiffness on Healing of Fractures Stabilized with Locking Plates

Effects of Construct Stiffness on Healing of Fractures Stabilized with Locking Plates

2010 Mid-America Orthopaedic Association Physician in Training Award: Healing Complications Are Common After Locked Plating for Distal Femur Fractures

Outcome of distal femoral fractures treated with locking compression plates

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