Supracondylar-intercondylar fractures of the femur. Treatment by internal fixation.

Siliski, John M.; Mähring, M; Hofer, H. P.

doi:10.2106/00004623-198971010-00015

Cited by 170 publications

(91 citation statements)

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“…Two cases of superficial infection occurred in compound fractures. These results were comparable to other series [17,20,21]. Compound injuries should be adequately debrided and washed and appropriate antibiotics started, to prevent the onset of infection.…”

Section: Discussionsupporting

confidence: 81%

“…Union was defined clinically as the patient could walk unaided without crutches and there was no pain at the fracture site and radiologically, the union was defined as the formation of the continuous bridging callus. The mean union time in our series was 13.7 weeks and this was comparable to that in the standard series [7,14,17]. The minimum time to union was 10 weeks whereas the maximum time to union was twenty four weeks in one compound comminuted segmental fracture pattern.…”

Section: Discussionsupporting

confidence: 79%

“…The wound condition, grade of injury and infection should be taken into account before nailing. This results compared with various studies [7,10,[16][17][18].…”

Section: Discussionmentioning

confidence: 57%

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A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

Aparajit

2016

Int J of Biomed & Adv Res

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Aims and Objective: To study the incidence and pattern of supracondylar femur fractures according to AO/ASIF classification, to assess the treatment and long-term functional outcome for supracondylar femoral fracture using retrograde nail. Methods: In the present study twenty supracondylar femur shaft fractures were treated by retrograde nail. Of these, four were females and sixteen were males, in the age group of 20 to 70 years. Fractures were classified according to Muller's. 40% were Type A2 fractures, 20% were Type A3, 20% were Type C1, 15% were Type C2 and 5% were Type C3. All the cases were operated with retrograde intramedullary nailing using patellar splitting approach. Results: Most common mechanism of injury was motor vehicles accidents associated with high energy trauma 12 cases (60%). Five were open fractures whereas fifteen were closed. The fractures were comminuted in 30% cases whereas 30% presented with a transverse pattern. 25% were oblique fractures and only one spiral fracture occurred in our series. The average range of knee motion in our series was 92.5 degrees. Knee stiffness occurred in one patient of type C3 fracture. There were two cases of significant shortening, one was 1.8 cms and the other was 3.1 cms, both occurred in type C2 comminuted fractures, it did not cause any morbidity and was corrected by shoe raise. The risk of infection and non-union were low. The incidence and severity of significant malunion was nil. It offers a short hospital stay, early mobilization and predictable healing. Conclusion: Supracondylar nail is an excellent option for management of supracondylar femur fractures even in those with intercondylar extension.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 79%

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A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

Aparajit

2016

Int J of Biomed & Adv Res

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“…Treatment options for these injuries include non-operative management but carries a higher risk of non-union (over 30%) and the risks of immobilisation, 2,3 and reconstruction with such implants as the intercondylar blade or screw plate, [4][5][6][7][8] locking plates, [9][10][11][12] and retrograde intramedullary nails. [13][14][15] It is of interest that cadaveric studies have consistently showed that regardless of fracture pattern, retrograde intramedullary fixation with distal locking screws has demonstrated the highest resistance to fatigue, failure and resistance to both axial and torsional forces when compared to fixed angle devices.…”

Section: Introductionmentioning

confidence: 99%

A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures — An alternative treatment option

Atrey

Hussain²,

Gosling³

et al. 2017

Journal of Orthopaedics

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Introduction: Although the use of an endoprosthesis for distal femoral fractures remains a valid treatment option the widespread use is in its infancy. Methodology: In this retrospective case series, we review cases of distal femoral fracture treated with endoprosthetic replacement (EPR). The outcomes we assessed were the time to start mobilising, the time to discharge, morbidity and mortality as well as an Oxford knee score to assess pain and function and also the early survivorship. 6 of the 11 from the cohort had existing Total Knee Replacements (TKRs) in situ. Results: There were 11 knees in our cohort with a mean age of 81.5 years (range 52-102 years). The median time to follow up was 3.5 years (range 1.6 to 5.5 years). The median times to theatre was 3 days and to discharge was 16 days. Oxford functional and pain scores were 32/48. Discussion: In the appropriate patient and fracture pattern, Endoprosthetic knee replacement is an excellent option in the treatment of distal femoral fractures whether associated with an existing TKR or not. The implant is more costly than traditional open reduction and internal fixation, but the earlier return to full mobility post-operatively may save on hospital/care home stay and free up hospital space and minimise complications.

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“…Of a total of 60 fractures in the series of Siliski et al, 16 CBP was used for 7 (11.67%) fractures while the condylar blade plate was utilized for 42 (70%). The satisfactory results achieved in terms of fracture union and functional outcome may appear to temper the concerns raised considering the stability of constructs with CBP.…”

Section: Discussionmentioning

confidence: 99%

Distal femoral fractures treated with condylar buttress plate in a West African hospital

Sié

Mobiot

Traoré

et al. 2012

Journal of Clinical Orthopaedics and Trauma

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a b s t r a c tObjectives: The aim of this retrospective study was to present our experience using condylar buttress plate in the treatment of distal femoral fractures. Results: There were 22 men and 10 women with an average age was 44 (range 19e87) years.The fractures were classified as A1 (n ¼ 7; 21.8%), A2 (n ¼ 4; 12%), A3 (n ¼ 5; 15.6%); C1 (n ¼ 4; 12.5%), C2 (n ¼ 6; 18.8%), and C3 (n ¼ 6; 18.8%). The mean delay from injury to operation was 15 (range 1e27) days. Iliac bone graft was performed in four patients. Postoperatively, a posterior splint or a plaster cast was applied for 3 weeks. No patient had an intra-articular step-off of more than 2 mm. Sepsis of the operative wound occurred in two patients.Fractures healed in 22 (91.7%) patients with a mean duration of 4 (range 3e8) months.Twenty-four patients were followed up on an average of 15 (range 7e28) months. Varus deformity (>10 ) was observed in five (20.8%) patients. Knee flexion was less than 90 in 11 (45.3%) cases. Non-union occurred in two (8.3%) patients. Functional results were good to excellent in 11 (45.8%) patients and considered as fair or failure in 13 (54.2%). Conclusion:The current report also identifies varus deformity as a major concern of this implant. The main finding of this study was the ensuing knee stiffness after a prolonged immobilization and delay in performing surgery and rehabilitation program due to socioeconomic and logistic reasons.

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Supracondylar-intercondylar fractures of the femur. Treatment by internal fixation.

Cited by 170 publications

References 0 publications

A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

A Study of Management of Supracondylar Femur Fractures by Supracondylar Nail

A 3 year minimum follow up of Endoprosthetic replacement for distal femoral fractures — An alternative treatment option

Distal femoral fractures treated with condylar buttress plate in a West African hospital

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