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Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach

BACKGROUND: Distal femur fractures are difficult to manage, and the selection of implant approach for internal fixation remains controversial. This study explores the clinical outcome of treating distal femoral fractures with a locking compression plate using a posteriolateral novel approach. METHOD...

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Autores principales: Xing, Wenzhao, Lin, Wei, Dai, Jia, Kong, Zhigang, Wang, Yanfeng, Sun, Lei, Zhang, Zhiguo, Sun, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857076/
https://www.ncbi.nlm.nih.gov/pubmed/29548341
http://dx.doi.org/10.1186/s13018-018-0756-7
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author Xing, Wenzhao
Lin, Wei
Dai, Jia
Kong, Zhigang
Wang, Yanfeng
Sun, Lei
Zhang, Zhiguo
Sun, Liang
author_facet Xing, Wenzhao
Lin, Wei
Dai, Jia
Kong, Zhigang
Wang, Yanfeng
Sun, Lei
Zhang, Zhiguo
Sun, Liang
author_sort Xing, Wenzhao
collection PubMed
description BACKGROUND: Distal femur fractures are difficult to manage, and the selection of implant approach for internal fixation remains controversial. This study explores the clinical outcome of treating distal femoral fractures with a locking compression plate using a posteriolateral novel approach. METHODS: Twenty patients with distal femoral fractures were included in our study, and all patients underwent fixation of the fracture using a locking compression plate through a posterolateral approach. The postoperative fracture healing time, complications, and functional recovery were observed and recorded. The joint function was categorized according to the Kolmert functional criteria. RESULTS: All patients were followed up for an average of 12 months, and all incisions healed by first intention. Among the all patients, 19 patients achieved fracture healing 3 to 4 months after surgery. The remaining 1 patient with distal femoral C(3) comminuted fracture achieved partial fracture healing 15 months after surgery, and bone grafting was needed. All knees can reach the state of straightening, and the postoperative excellent rate was 90%. Among them, 8 patients had maximal flexion of more than 120°, 10 patients had flexion between 90° and 120°, and 2 other patients had flexion of 70° and 40°. CONCLUSIONS: Fixation of the fracture using a locking compression plate through a posterolateral approach seemed to be an acceptable surgical option for treatment of distal femoral fractures.
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spelling pubmed-58570762018-03-22 Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach Xing, Wenzhao Lin, Wei Dai, Jia Kong, Zhigang Wang, Yanfeng Sun, Lei Zhang, Zhiguo Sun, Liang J Orthop Surg Res Research Article BACKGROUND: Distal femur fractures are difficult to manage, and the selection of implant approach for internal fixation remains controversial. This study explores the clinical outcome of treating distal femoral fractures with a locking compression plate using a posteriolateral novel approach. METHODS: Twenty patients with distal femoral fractures were included in our study, and all patients underwent fixation of the fracture using a locking compression plate through a posterolateral approach. The postoperative fracture healing time, complications, and functional recovery were observed and recorded. The joint function was categorized according to the Kolmert functional criteria. RESULTS: All patients were followed up for an average of 12 months, and all incisions healed by first intention. Among the all patients, 19 patients achieved fracture healing 3 to 4 months after surgery. The remaining 1 patient with distal femoral C(3) comminuted fracture achieved partial fracture healing 15 months after surgery, and bone grafting was needed. All knees can reach the state of straightening, and the postoperative excellent rate was 90%. Among them, 8 patients had maximal flexion of more than 120°, 10 patients had flexion between 90° and 120°, and 2 other patients had flexion of 70° and 40°. CONCLUSIONS: Fixation of the fracture using a locking compression plate through a posterolateral approach seemed to be an acceptable surgical option for treatment of distal femoral fractures. BioMed Central 2018-03-16 /pmc/articles/PMC5857076/ /pubmed/29548341 http://dx.doi.org/10.1186/s13018-018-0756-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Xing, Wenzhao
Lin, Wei
Dai, Jia
Kong, Zhigang
Wang, Yanfeng
Sun, Lei
Zhang, Zhiguo
Sun, Liang
Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
title Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
title_full Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
title_fullStr Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
title_full_unstemmed Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
title_short Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
title_sort clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5857076/
https://www.ncbi.nlm.nih.gov/pubmed/29548341
http://dx.doi.org/10.1186/s13018-018-0756-7
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