Treatment of multifragmentary fractures of the femur by indirect reduction (biological) and plate fixation

Kesemenli, Cumhur; Subaşı, Mehmet; Necmioğlu, Serdar; Kapukaya, Ahmet

doi:10.1016/s0020-1383(02)00166-3

Cited by 38 publications

(22 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Minimally invasive plate osteosynthesis has been introduced to minimize dissection of broken bone fragments thereby preserving vascularity and healing potential [1] . Biological plating is in common use in the fixation of comminuted diaphyseal fractures of the femur and tibia [3,4] . In the fracture of the humeral shaft, percutaneous plating is less popular because of the risk of injury to the neurovascular structures and the radial nerve in particular.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Fixation of Comminuted Fractures of the Humerus: Initial Experience at Al Razi Hospital, Kuwait

Pospula¹,

Noor²

2006

Med Princ Pract

View full text Add to dashboard Cite

Objective: To present initial experience of 12 cases of percutaneous plating of the comminuted fractures of the humerus using minimal access surgery and standard low-contact dynamic compression plate. Patients and Methods: Twelve patients (11 males and 1 female) with an average age of 29.8 years (range 17–46 years) with comminuted diaphyseal fractures of the humerus were treated by minimal access surgery using standard AO/ASIF implants. Fracture was reduced indirectly either by manipulation or by a femoral distractor. Image intensifier was used to monitor the reduction and fixation. The plate was fixed on the anterior surface of the humerus using proximal and distal minimal incision on the anterior aspect of the upper arm. Results: All fractures were united, and all patients had a good range of motion in the adjacent joints. In 1 patient, there was a transient neurological deficit. Conclusion: Percutaneous fixation of comminuted fractures of the humeral shaft is an alternative to standard open surgery, reducing the surgical impact and giving an excellent functional result.

show abstract

Section: Discussionmentioning

confidence: 99%

Percutaneous Fixation of Comminuted Fractures of the Humerus: Initial Experience at Al Razi Hospital, Kuwait

Pospula¹,

Noor²

2006

Med Princ Pract

View full text Add to dashboard Cite

show abstract

“…Recently, treatment of fracture fixation by plates of compliant materials has emerged. The aim of using compliant plates is to take the support of biological tissue response at the fracture (3), (16) . Flexible/compliant plates will not provide absolute stability (as in case 3 where the callus is subjected to tensile stress) at the fracture interface and there is a certain amount of interfragmentary movement (movement which provides 2% strain), which initiates callus formation.…”

Section: Stiffness Graded Bone Plates For Fracture Fixation: a Finitementioning

confidence: 99%

Design of Fracture Fixation Plate for Necessary and Sufficient Bone Stress Shielding

Ramakrishna

Idapalapati

Sivashanker

et al. 2004

JSME Int. J., Ser. C

View full text Add to dashboard Cite

The objective of treating the fractured bone is to achieve painless functioning of the bone and undisturbed healing at the fracture. Internal fixation by stiff bone-plate is one of the standard methods to achieve these objectives. Recently, there is considerable interest in the usage of compliant plates to enhance bone healing with reduced stress shielding. Herein, first an analytical solution is developed to determine screw forces in the bone-plate assembly that conforms the plate and the bone under bending load. Based on the analytical calculations, an optimal fixator plate selection criterion for necessary and sufficient stress shielding is proposed. Second, effectiveness of employing a non-homogeneous stiffness graded (SG) plate rather than a homogeneous stainless steel (SS) plate for stress shielding is investigated using a finite element method. It is found that stress shielding on bone by SG plate is less compared to SS plate.

show abstract

“…[7,8,[40][41][42][43] The nonunion rate of plate-screw fixation was reported as between 0% and 19%. [15,21,22,34,38,44] In our study, there was no nonunion in Group II, but 2 nonunion cases were detected in Group I. The first patient had femoral neck fracture and patella fracture on the same side with wide soft tissue injury.…”

Section: Discussionmentioning

confidence: 50%

“…Both results are correlated with the literature. [8,[37][38][39] In both techniques, fractures were reduced indirectly without stripping the soft tissues. With biological fixation method, early callus formation and secondary fracture healing are the primary targets.…”

Section: Discussionmentioning

confidence: 99%

Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

Köseoğlu¹,

Durak²,

Bilgen³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Treatment of multifragmentary fractures of the femur by indirect reduction (biological) and plate fixation

Cited by 38 publications

References 23 publications

Percutaneous Fixation of Comminuted Fractures of the Humerus: Initial Experience at Al Razi Hospital, Kuwait

Percutaneous Fixation of Comminuted Fractures of the Humerus: Initial Experience at Al Razi Hospital, Kuwait

Design of Fracture Fixation Plate for Necessary and Sufficient Bone Stress Shielding

Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

Contact Info

Product

Resources

About