Cargando…
Stable internal fixation with dual plate technique for osteoporotic distal femur fractures
BACKGROUND: Osteoporotic distal femur fractures are difficult in terms of fracture treatment and recovery. We hypothesized that the minimally invasive plate osteosynthesis (MIPO) with dual plate technique increased fixation stability and encouraged early mobilization and return to pre-fracture activ...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861392/ https://www.ncbi.nlm.nih.gov/pubmed/35242324 http://dx.doi.org/10.1016/j.amsu.2022.103374 |
_version_ | 1784654875021279232 |
---|---|
author | Lim, Chaemoon Choi, Sungwook Choi, Tae Hyun Kang, Hyunseong |
author_facet | Lim, Chaemoon Choi, Sungwook Choi, Tae Hyun Kang, Hyunseong |
author_sort | Lim, Chaemoon |
collection | PubMed |
description | BACKGROUND: Osteoporotic distal femur fractures are difficult in terms of fracture treatment and recovery. We hypothesized that the minimally invasive plate osteosynthesis (MIPO) with dual plate technique increased fixation stability and encouraged early mobilization and return to pre-fracture activity. MATERIAL AND METHODS: Between 2016 and 2019, 22 patients were treated with the dual plate technique for osteoporotic distal femur fractures. To evaluate the clinical outcome, the modified Western Ontario and McMaster Universities (WOMAC) score, Tegner activity score, knee range of motion (ROM), time to pain free full weight bearing from operation and patient satisfaction score were used. To evaluate the radiological outcome, the time to radiological union and varus or valgus angulation were measured. RESULTS: The mean modified WOMAC score was 37.0 ± 6.5 (range, 26–42). There was no significant difference between preoperative and postoperative Tegner activity score (p = 0.436). Among 22 patients, 16 patients (72.7%) achieved preoperative activity level. The mean knee ROM was 106.1° ± 16.8° (range, 80–135). The time to pain free weight bearing was 7.4 ± 1.5 (range, 5–10) weeks. In patient satisfaction, 20 patients (90.9%) were very satisfied or somewhat satisfied. Bone union was achieved in all patients at 16.4 ± 4.3 (range, 13–22) weeks. The final follow-up valgus angle was 3.6° ± 4.0° (range, −2.5° - 10.9). CONCLUSION: MIPO with the dual plate technique can provide rigid fixation for osteoporotic distal femur fractures. This stable and rigid fixation may allow early mobilization and return to pre-fracture activity. |
format | Online Article Text |
id | pubmed-8861392 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88613922022-03-02 Stable internal fixation with dual plate technique for osteoporotic distal femur fractures Lim, Chaemoon Choi, Sungwook Choi, Tae Hyun Kang, Hyunseong Ann Med Surg (Lond) Case Series BACKGROUND: Osteoporotic distal femur fractures are difficult in terms of fracture treatment and recovery. We hypothesized that the minimally invasive plate osteosynthesis (MIPO) with dual plate technique increased fixation stability and encouraged early mobilization and return to pre-fracture activity. MATERIAL AND METHODS: Between 2016 and 2019, 22 patients were treated with the dual plate technique for osteoporotic distal femur fractures. To evaluate the clinical outcome, the modified Western Ontario and McMaster Universities (WOMAC) score, Tegner activity score, knee range of motion (ROM), time to pain free full weight bearing from operation and patient satisfaction score were used. To evaluate the radiological outcome, the time to radiological union and varus or valgus angulation were measured. RESULTS: The mean modified WOMAC score was 37.0 ± 6.5 (range, 26–42). There was no significant difference between preoperative and postoperative Tegner activity score (p = 0.436). Among 22 patients, 16 patients (72.7%) achieved preoperative activity level. The mean knee ROM was 106.1° ± 16.8° (range, 80–135). The time to pain free weight bearing was 7.4 ± 1.5 (range, 5–10) weeks. In patient satisfaction, 20 patients (90.9%) were very satisfied or somewhat satisfied. Bone union was achieved in all patients at 16.4 ± 4.3 (range, 13–22) weeks. The final follow-up valgus angle was 3.6° ± 4.0° (range, −2.5° - 10.9). CONCLUSION: MIPO with the dual plate technique can provide rigid fixation for osteoporotic distal femur fractures. This stable and rigid fixation may allow early mobilization and return to pre-fracture activity. Elsevier 2022-02-11 /pmc/articles/PMC8861392/ /pubmed/35242324 http://dx.doi.org/10.1016/j.amsu.2022.103374 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Series Lim, Chaemoon Choi, Sungwook Choi, Tae Hyun Kang, Hyunseong Stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
title | Stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
title_full | Stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
title_fullStr | Stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
title_full_unstemmed | Stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
title_short | Stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
title_sort | stable internal fixation with dual plate technique for osteoporotic distal femur fractures |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861392/ https://www.ncbi.nlm.nih.gov/pubmed/35242324 http://dx.doi.org/10.1016/j.amsu.2022.103374 |
work_keys_str_mv | AT limchaemoon stableinternalfixationwithdualplatetechniqueforosteoporoticdistalfemurfractures AT choisungwook stableinternalfixationwithdualplatetechniqueforosteoporoticdistalfemurfractures AT choitaehyun stableinternalfixationwithdualplatetechniqueforosteoporoticdistalfemurfractures AT kanghyunseong stableinternalfixationwithdualplatetechniqueforosteoporoticdistalfemurfractures |