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Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures

Background and Objectives: At present, the management of comminuted distal femur fractures remains challenging for orthopedic surgeons. The aim of this study is to report a surgical treatment for comminuted distal femur fractures using supplementary medial cortical bone plate allografts in conjuncti...

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Autores principales: Guo, Zhimin, Liu, Hui, Luo, Deqing, Cai, Taoyi, Zhang, Jinhui, Wu, Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961610/
https://www.ncbi.nlm.nih.gov/pubmed/36837409
http://dx.doi.org/10.3390/medicina59020207
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author Guo, Zhimin
Liu, Hui
Luo, Deqing
Cai, Taoyi
Zhang, Jinhui
Wu, Jin
author_facet Guo, Zhimin
Liu, Hui
Luo, Deqing
Cai, Taoyi
Zhang, Jinhui
Wu, Jin
author_sort Guo, Zhimin
collection PubMed
description Background and Objectives: At present, the management of comminuted distal femur fractures remains challenging for orthopedic surgeons. The aim of this study is to report a surgical treatment for comminuted distal femur fractures using supplementary medial cortical bone plate allografts in conjunction with the lateral less invasive stabilization system (LISS) plates. Materials and Methods: From January 2009 to January 2014, the records of thirty-three patients who underwent supplementary medial cortical bone plate allografts combined with lateral LISS plates fixation were reviewed. Clinical and radiographic data were collected during regular postoperative follow-up visits. Functional outcomes were determined according to the special surgery knee rating scale (HSS) used at the hospital. Results: Thirty patients were followed for 13 to 73 months after surgery, with an average follow-up time of 31.3 months. The mean time to bone union was 5.4 months (range of 3–12 months) and the mean range of knee flexion was 105.6° (range of 80–130°). Of the remaining patients, 10 had a score of “Excellent”, while 10 had a score of “Good”. Three patients had superficial or deep infections, one patient had nonunion that required bone grafting, and one patient had post-traumatic knee arthritis. Conclusions: Based on these promising results, we propose that supplementary medial cortical bone plate allografts combined with lateral LISS plate fixation may be a good treatment option for comminuted distal femur fractures. This treatment choice not only resulted in markedly improved stability on the medial side of the femur, but also satisfactory outcomes for distal femoral fractures.
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spelling pubmed-99616102023-02-26 Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures Guo, Zhimin Liu, Hui Luo, Deqing Cai, Taoyi Zhang, Jinhui Wu, Jin Medicina (Kaunas) Article Background and Objectives: At present, the management of comminuted distal femur fractures remains challenging for orthopedic surgeons. The aim of this study is to report a surgical treatment for comminuted distal femur fractures using supplementary medial cortical bone plate allografts in conjunction with the lateral less invasive stabilization system (LISS) plates. Materials and Methods: From January 2009 to January 2014, the records of thirty-three patients who underwent supplementary medial cortical bone plate allografts combined with lateral LISS plates fixation were reviewed. Clinical and radiographic data were collected during regular postoperative follow-up visits. Functional outcomes were determined according to the special surgery knee rating scale (HSS) used at the hospital. Results: Thirty patients were followed for 13 to 73 months after surgery, with an average follow-up time of 31.3 months. The mean time to bone union was 5.4 months (range of 3–12 months) and the mean range of knee flexion was 105.6° (range of 80–130°). Of the remaining patients, 10 had a score of “Excellent”, while 10 had a score of “Good”. Three patients had superficial or deep infections, one patient had nonunion that required bone grafting, and one patient had post-traumatic knee arthritis. Conclusions: Based on these promising results, we propose that supplementary medial cortical bone plate allografts combined with lateral LISS plate fixation may be a good treatment option for comminuted distal femur fractures. This treatment choice not only resulted in markedly improved stability on the medial side of the femur, but also satisfactory outcomes for distal femoral fractures. MDPI 2023-01-20 /pmc/articles/PMC9961610/ /pubmed/36837409 http://dx.doi.org/10.3390/medicina59020207 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
Guo, Zhimin
Liu, Hui
Luo, Deqing
Cai, Taoyi
Zhang, Jinhui
Wu, Jin
Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures
title Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures
title_full Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures
title_fullStr Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures
title_full_unstemmed Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures
title_short Application of Cortical Bone Plate Allografts Combined with Less Invasive Stabilization System (LISS) Plates in Fixation of Comminuted Distal Femur Fractures
title_sort application of cortical bone plate allografts combined with less invasive stabilization system (liss) plates in fixation of comminuted distal femur fractures
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9961610/
https://www.ncbi.nlm.nih.gov/pubmed/36837409
http://dx.doi.org/10.3390/medicina59020207
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