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Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age

Background and Objectives: Distal femoral fracture is a severe injury that makes surgery challenging, particularly comminuted fractures in the supracondylar region. This study aimed to evaluate the outcomes of distal femoral fracture treated with the application of an intramedullary fibular allogeni...

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Autores principales: Su, Wen-Chin, Yu, Tzai-Chiu, Peng, Cheng-Huan, Liu, Kuan-Lin, Wu, Wen-Tien, Chen, Ing-Ho, Wang, Jen-Hung, Yeh, Kuang-Ting
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866707/
https://www.ncbi.nlm.nih.gov/pubmed/36676633
http://dx.doi.org/10.3390/medicina59010009
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author Su, Wen-Chin
Yu, Tzai-Chiu
Peng, Cheng-Huan
Liu, Kuan-Lin
Wu, Wen-Tien
Chen, Ing-Ho
Wang, Jen-Hung
Yeh, Kuang-Ting
author_facet Su, Wen-Chin
Yu, Tzai-Chiu
Peng, Cheng-Huan
Liu, Kuan-Lin
Wu, Wen-Tien
Chen, Ing-Ho
Wang, Jen-Hung
Yeh, Kuang-Ting
author_sort Su, Wen-Chin
collection PubMed
description Background and Objectives: Distal femoral fracture is a severe injury that makes surgery challenging, particularly comminuted fractures in the supracondylar region. This study aimed to evaluate the outcomes of distal femoral fracture treated with the application of an intramedullary fibular allogenic bone strut in open reduction and internal fixation (ORIF) with precontoured locking plates in patients over 50 years of age. Materials and Methods: The study retrospectively enrolled 202 patients over 50 years of age with traumatic comminuted distal femoral fracture (AO/OTA 33-A3, 33-C2 and 33-C3) treated with ORIF with a locking plate from January 2016 to December 2019. The two groups were divided into patients who received an intramedullary allogenic bone strut and those who did not. Patients were followed for at least 1 year, with their function scores and radiographic data recorded. Results: A total of 124 patients were recruited, comprising 60 men and 64 women with an average age of 62.4 ± 8.5 years. The 36 patients who had received an intramedullary allogenic fibular bone strut reported lower postoperative pain scores at 1 month and lower postoperative Knee Society Scores (KSS) at 3 months than the control group. The application of an intramedullary allogenic fibular bone strut appeared to be significantly correlated with better 3-month postoperative KSS. Conclusions: The ORIF of distal femoral comminuted fracture with an intramedullary allogenic fibular bone strut can reduce pain and improve knee function in the early stages of postoperative rehabilitation and may reduce the time to union in patients over 50 years of age.
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spelling pubmed-98667072023-01-22 Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age Su, Wen-Chin Yu, Tzai-Chiu Peng, Cheng-Huan Liu, Kuan-Lin Wu, Wen-Tien Chen, Ing-Ho Wang, Jen-Hung Yeh, Kuang-Ting Medicina (Kaunas) Article Background and Objectives: Distal femoral fracture is a severe injury that makes surgery challenging, particularly comminuted fractures in the supracondylar region. This study aimed to evaluate the outcomes of distal femoral fracture treated with the application of an intramedullary fibular allogenic bone strut in open reduction and internal fixation (ORIF) with precontoured locking plates in patients over 50 years of age. Materials and Methods: The study retrospectively enrolled 202 patients over 50 years of age with traumatic comminuted distal femoral fracture (AO/OTA 33-A3, 33-C2 and 33-C3) treated with ORIF with a locking plate from January 2016 to December 2019. The two groups were divided into patients who received an intramedullary allogenic bone strut and those who did not. Patients were followed for at least 1 year, with their function scores and radiographic data recorded. Results: A total of 124 patients were recruited, comprising 60 men and 64 women with an average age of 62.4 ± 8.5 years. The 36 patients who had received an intramedullary allogenic fibular bone strut reported lower postoperative pain scores at 1 month and lower postoperative Knee Society Scores (KSS) at 3 months than the control group. The application of an intramedullary allogenic fibular bone strut appeared to be significantly correlated with better 3-month postoperative KSS. Conclusions: The ORIF of distal femoral comminuted fracture with an intramedullary allogenic fibular bone strut can reduce pain and improve knee function in the early stages of postoperative rehabilitation and may reduce the time to union in patients over 50 years of age. MDPI 2022-12-20 /pmc/articles/PMC9866707/ /pubmed/36676633 http://dx.doi.org/10.3390/medicina59010009 Text en © 2022 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
Su, Wen-Chin
Yu, Tzai-Chiu
Peng, Cheng-Huan
Liu, Kuan-Lin
Wu, Wen-Tien
Chen, Ing-Ho
Wang, Jen-Hung
Yeh, Kuang-Ting
Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age
title Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age
title_full Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age
title_fullStr Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age
title_full_unstemmed Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age
title_short Use of an Intramedullary Allogenic Fibular Strut Bone and Lateral Locking Plate for Distal Femoral Fracture with Supracondylar Comminution in Patients over 50 Years of Age
title_sort use of an intramedullary allogenic fibular strut bone and lateral locking plate for distal femoral fracture with supracondylar comminution in patients over 50 years of age
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9866707/
https://www.ncbi.nlm.nih.gov/pubmed/36676633
http://dx.doi.org/10.3390/medicina59010009
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