Cargando…
Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union-
Background: Locking a compression plate is a more favorable surgical technique than intramedullary nailing in the treatment of distal femur fractures. This study analyzed the risk factors of proximal screw breakage retrospectively, which was confirmed in the patients with plate removal after bony un...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573958/ https://www.ncbi.nlm.nih.gov/pubmed/37834989 http://dx.doi.org/10.3390/jcm12196345 |
_version_ | 1785120582196527104 |
---|---|
author | Yoo, Jehyun Kwak, Daekyung Kim, Joongil Kwon, Seungcheol Kwon, Junhyuk Hwang, Jihyo |
author_facet | Yoo, Jehyun Kwak, Daekyung Kim, Joongil Kwon, Seungcheol Kwon, Junhyuk Hwang, Jihyo |
author_sort | Yoo, Jehyun |
collection | PubMed |
description | Background: Locking a compression plate is a more favorable surgical technique than intramedullary nailing in the treatment of distal femur fractures. This study analyzed the risk factors of proximal screw breakage retrospectively, which was confirmed in the patients with plate removal after bony union. Methods: A total of 140 patients who were fixed by MIPO using ZPLP from 2009 to 2019 were identified. A total of 42 patients met the inclusion criteria and were included. The screw breakage group (12 patients) and the non-breakage group (30 patients) were compared. Results: Approximately 12 (28.6%) of 42 plate-removal patients showed proximal screw breakage. The breakage of proximal screws developed at the junction of the screw head and neck. The number of broken proximal screws averaged 1.4 (1~4). The breakage of the proximal screw even after the bony union is more frequent in older patients (p = 0.023), the dominant side (p = 0.025), the use of the cortical screw as the proximal uppermost screw (p = 0.039), and the higher plate-screw density (p = 0.048). Conclusions: Advanced age, dominant side, use of the cortical screw as the uppermost screw, and higher plate-screw density were related to proximal screw breakage. When the plate is removed after bony union or delayed union is shown in these situations, the possibility of proximal screw breakage should be kept in mind. |
format | Online Article Text |
id | pubmed-10573958 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105739582023-10-14 Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- Yoo, Jehyun Kwak, Daekyung Kim, Joongil Kwon, Seungcheol Kwon, Junhyuk Hwang, Jihyo J Clin Med Article Background: Locking a compression plate is a more favorable surgical technique than intramedullary nailing in the treatment of distal femur fractures. This study analyzed the risk factors of proximal screw breakage retrospectively, which was confirmed in the patients with plate removal after bony union. Methods: A total of 140 patients who were fixed by MIPO using ZPLP from 2009 to 2019 were identified. A total of 42 patients met the inclusion criteria and were included. The screw breakage group (12 patients) and the non-breakage group (30 patients) were compared. Results: Approximately 12 (28.6%) of 42 plate-removal patients showed proximal screw breakage. The breakage of proximal screws developed at the junction of the screw head and neck. The number of broken proximal screws averaged 1.4 (1~4). The breakage of the proximal screw even after the bony union is more frequent in older patients (p = 0.023), the dominant side (p = 0.025), the use of the cortical screw as the proximal uppermost screw (p = 0.039), and the higher plate-screw density (p = 0.048). Conclusions: Advanced age, dominant side, use of the cortical screw as the uppermost screw, and higher plate-screw density were related to proximal screw breakage. When the plate is removed after bony union or delayed union is shown in these situations, the possibility of proximal screw breakage should be kept in mind. MDPI 2023-10-03 /pmc/articles/PMC10573958/ /pubmed/37834989 http://dx.doi.org/10.3390/jcm12196345 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Yoo, Jehyun Kwak, Daekyung Kim, Joongil Kwon, Seungcheol Kwon, Junhyuk Hwang, Jihyo Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- |
title | Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- |
title_full | Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- |
title_fullStr | Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- |
title_full_unstemmed | Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- |
title_short | Risk Factors of Proximal Screw Breakage of Locking Plate (ZPLP(®)) after MIPO for Distal Femur Fractures -Analysis of Patients with Plate Removal after Bony Union- |
title_sort | risk factors of proximal screw breakage of locking plate (zplp(®)) after mipo for distal femur fractures -analysis of patients with plate removal after bony union- |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10573958/ https://www.ncbi.nlm.nih.gov/pubmed/37834989 http://dx.doi.org/10.3390/jcm12196345 |
work_keys_str_mv | AT yoojehyun riskfactorsofproximalscrewbreakageoflockingplatezplpaftermipofordistalfemurfracturesanalysisofpatientswithplateremovalafterbonyunion AT kwakdaekyung riskfactorsofproximalscrewbreakageoflockingplatezplpaftermipofordistalfemurfracturesanalysisofpatientswithplateremovalafterbonyunion AT kimjoongil riskfactorsofproximalscrewbreakageoflockingplatezplpaftermipofordistalfemurfracturesanalysisofpatientswithplateremovalafterbonyunion AT kwonseungcheol riskfactorsofproximalscrewbreakageoflockingplatezplpaftermipofordistalfemurfracturesanalysisofpatientswithplateremovalafterbonyunion AT kwonjunhyuk riskfactorsofproximalscrewbreakageoflockingplatezplpaftermipofordistalfemurfracturesanalysisofpatientswithplateremovalafterbonyunion AT hwangjihyo riskfactorsofproximalscrewbreakageoflockingplatezplpaftermipofordistalfemurfracturesanalysisofpatientswithplateremovalafterbonyunion |