Cargando…

Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)

BACKGROUND: Distal femur fractures are complex injuries with a high rate of fracture healing problems. Since the widespread of computed tomographic imaging in the diagnosis of distal femur fractures, many fracture characteristics have been discovered. This study aimed to depict the location and freq...

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Ruiyang, Zhuge, Yingjie, Zhan, Yu, Xie, Xuetao, Luo, Congfeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9073806/
https://www.ncbi.nlm.nih.gov/pubmed/35530952
http://dx.doi.org/10.21037/atm-21-4591
_version_ 1784701368386191360
author Li, Ruiyang
Zhuge, Yingjie
Zhan, Yu
Xie, Xuetao
Luo, Congfeng
author_facet Li, Ruiyang
Zhuge, Yingjie
Zhan, Yu
Xie, Xuetao
Luo, Congfeng
author_sort Li, Ruiyang
collection PubMed
description BACKGROUND: Distal femur fractures are complex injuries with a high rate of fracture healing problems. Since the widespread of computed tomographic imaging in the diagnosis of distal femur fractures, many fracture characteristics have been discovered. This study aimed to depict the location and frequency of distal femur fracture lines and further analyze the morphological characteristics using the 3-dimensional computed tomography (CT) mapping technique, thus providing more information to solve this challenging clinical problem. METHODS: In total, 217 distal femur fractures in 216 patients were retrospectively reviewed. Fracture fragments on CT were digitally reconstructed and virtually reduced to match a template model. The contour of every fracture fragment was then marked with smooth curves, and the overlap of all fracture lines allowed for the creation of 3-dimensional fracture maps and heat maps. Fracture characteristics were summarized based on these maps. RESULTS: This study included 114 left knee injuries, 101 right knee injuries, and 1 case with bilateral injury. Distal femur fractures were most likely to occur among patients aged 61 to 70 years. On the heat map of all 217 fractures, fracture line hot zones were mainly concentrated around the metaphysis, the lateral part of the intercondylar notch, and the patellofemoral joint. Distal femur fractures with three Arbeitsgemeinschaft für Osteosynthesefragen Foundation/Orthopaedic Trauma Association (AO/OTA) types demonstrated distinct fracture characteristics. In total, there were 58 coronal plane fractures (41.1%) in 141 intercondylar fractures. CONCLUSIONS: The intercondylar fracture patterns in AO/OTA type B and type C fractures were similar, while the supracondylar characteristics in AO/OTA type A and type C were different. The findings in this study can help orthopaedic surgeons better understand the fracture morphology on the basis of AO/OTA classification. Further studies are needed to establish a standard biomechanical fracture model and new fixation strategy for better clinical outcomes.
format Online
Article
Text
id pubmed-9073806
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher AME Publishing Company
record_format MEDLINE/PubMed
spelling pubmed-90738062022-05-07 Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C) Li, Ruiyang Zhuge, Yingjie Zhan, Yu Xie, Xuetao Luo, Congfeng Ann Transl Med Original Article BACKGROUND: Distal femur fractures are complex injuries with a high rate of fracture healing problems. Since the widespread of computed tomographic imaging in the diagnosis of distal femur fractures, many fracture characteristics have been discovered. This study aimed to depict the location and frequency of distal femur fracture lines and further analyze the morphological characteristics using the 3-dimensional computed tomography (CT) mapping technique, thus providing more information to solve this challenging clinical problem. METHODS: In total, 217 distal femur fractures in 216 patients were retrospectively reviewed. Fracture fragments on CT were digitally reconstructed and virtually reduced to match a template model. The contour of every fracture fragment was then marked with smooth curves, and the overlap of all fracture lines allowed for the creation of 3-dimensional fracture maps and heat maps. Fracture characteristics were summarized based on these maps. RESULTS: This study included 114 left knee injuries, 101 right knee injuries, and 1 case with bilateral injury. Distal femur fractures were most likely to occur among patients aged 61 to 70 years. On the heat map of all 217 fractures, fracture line hot zones were mainly concentrated around the metaphysis, the lateral part of the intercondylar notch, and the patellofemoral joint. Distal femur fractures with three Arbeitsgemeinschaft für Osteosynthesefragen Foundation/Orthopaedic Trauma Association (AO/OTA) types demonstrated distinct fracture characteristics. In total, there were 58 coronal plane fractures (41.1%) in 141 intercondylar fractures. CONCLUSIONS: The intercondylar fracture patterns in AO/OTA type B and type C fractures were similar, while the supracondylar characteristics in AO/OTA type A and type C were different. The findings in this study can help orthopaedic surgeons better understand the fracture morphology on the basis of AO/OTA classification. Further studies are needed to establish a standard biomechanical fracture model and new fixation strategy for better clinical outcomes. AME Publishing Company 2022-04 /pmc/articles/PMC9073806/ /pubmed/35530952 http://dx.doi.org/10.21037/atm-21-4591 Text en 2022 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Li, Ruiyang
Zhuge, Yingjie
Zhan, Yu
Xie, Xuetao
Luo, Congfeng
Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)
title Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)
title_full Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)
title_fullStr Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)
title_full_unstemmed Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)
title_short Three-dimensional computed tomography mapping and analysis of distal femur fractures (AO/OTA types 33A, 33B, and 33C)
title_sort three-dimensional computed tomography mapping and analysis of distal femur fractures (ao/ota types 33a, 33b, and 33c)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9073806/
https://www.ncbi.nlm.nih.gov/pubmed/35530952
http://dx.doi.org/10.21037/atm-21-4591
work_keys_str_mv AT liruiyang threedimensionalcomputedtomographymappingandanalysisofdistalfemurfracturesaootatypes33a33band33c
AT zhugeyingjie threedimensionalcomputedtomographymappingandanalysisofdistalfemurfracturesaootatypes33a33band33c
AT zhanyu threedimensionalcomputedtomographymappingandanalysisofdistalfemurfracturesaootatypes33a33band33c
AT xiexuetao threedimensionalcomputedtomographymappingandanalysisofdistalfemurfracturesaootatypes33a33band33c
AT luocongfeng threedimensionalcomputedtomographymappingandanalysisofdistalfemurfracturesaootatypes33a33band33c