Treatment Options for Distal Femoral Fractures
Due to their high complication rate and negative impact of those complications upon the knee and the whole lower limb, distal femoral fractures require optimal restoration of the functional anatomy and stable fixation thus allowing early recovery. This paper presents the experience of the authors re...
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Published in | Mædica Vol. 10; no. 2; pp. 117 - 122 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Romania
Tarus Media
01.06.2015
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Abstract | Due to their high complication rate and negative impact of those complications upon the knee and the whole lower limb, distal femoral fractures require optimal restoration of the functional anatomy and stable fixation thus allowing early recovery. This paper presents the experience of the authors regarding the indications and results of the most accepted surgical methods, including late complications affecting the knee.
36 patients with closed distal femoral fractures (21-81 yrs old) operated in Bucharest, Clinical Emergency Hospital, Orthopedics and Trauma Clinic, were retrospectively studied from the point of view of the fracture and implant type, functional results and complications.
Most of the fractures were high energy comminuted fractures (27 cases), mainly with articular involvement. Retrograde nail was used in type A fractures, while plating (LCP) was the main indication for type C fractures. The functional outcome was correlated with the fracture type and the incidence of complications was higher in type A3, C2 and C3 fractures.
Anatomical reduction of the articular surface, restoration of functional anatomy and stable fixation are mandatory for an optimal knee function after distal femoral fractures. Failure to achieve them, due to the character of the fracture or to improper fixation, is followed by significant functional deficit, thus delaying the patients' recovery. |
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AbstractList | INTRODUCTIONDue to their high complication rate and negative impact of those complications upon the knee and the whole lower limb, distal femoral fractures require optimal restoration of the functional anatomy and stable fixation thus allowing early recovery. This paper presents the experience of the authors regarding the indications and results of the most accepted surgical methods, including late complications affecting the knee. MATERIAL AND METHOD36 patients with closed distal femoral fractures (21-81 yrs old) operated in Bucharest, Clinical Emergency Hospital, Orthopedics and Trauma Clinic, were retrospectively studied from the point of view of the fracture and implant type, functional results and complications. RESULTSMost of the fractures were high energy comminuted fractures (27 cases), mainly with articular involvement. Retrograde nail was used in type A fractures, while plating (LCP) was the main indication for type C fractures. The functional outcome was correlated with the fracture type and the incidence of complications was higher in type A3, C2 and C3 fractures. CONCLUSIONAnatomical reduction of the articular surface, restoration of functional anatomy and stable fixation are mandatory for an optimal knee function after distal femoral fractures. Failure to achieve them, due to the character of the fracture or to improper fixation, is followed by significant functional deficit, thus delaying the patients' recovery. Due to their high complication rate and negative impact of those complications upon the knee and the whole lower limb, distal femoral fractures require optimal restoration of the functional anatomy and stable fixation thus allowing early recovery. This paper presents the experience of the authors regarding the indications and results of the most accepted surgical methods, including late complications affecting the knee. 36 patients with closed distal femoral fractures (21-81 yrs old) operated in Bucharest, Clinical Emergency Hospital, Orthopedics and Trauma Clinic, were retrospectively studied from the point of view of the fracture and implant type, functional results and complications. Most of the fractures were high energy comminuted fractures (27 cases), mainly with articular involvement. Retrograde nail was used in type A fractures, while plating (LCP) was the main indication for type C fractures. The functional outcome was correlated with the fracture type and the incidence of complications was higher in type A3, C2 and C3 fractures. Anatomical reduction of the articular surface, restoration of functional anatomy and stable fixation are mandatory for an optimal knee function after distal femoral fractures. Failure to achieve them, due to the character of the fracture or to improper fixation, is followed by significant functional deficit, thus delaying the patients' recovery. |
Author | Popescu, Gheorghe Ion Lupescu, Olivera Vasilache, Cornelia Nagea, Mihail Patru, Cristina |
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References | 20951378 - Injury. 2011 Jul;42(7):655-9 24279475 - J Orthop Surg Res. 2013 Nov 27;8:43 18601812 - Acta Chir Orthop Traumatol Cech. 2008 Jun;75(3):158-66 15346082 - Clin Orthop Relat Res. 2004 Sep;(426):252-7 15475845 - J Orthop Trauma. 2004 Sep;18(8):503-8 19077637 - J Trauma. 2008 Dec;65(6):1425-34 12902786 - J Orthop Trauma. 2003 Aug;17 (7):488-95 20869056 - Injury. 2011 Feb;42(2):194-9 |
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Snippet | Due to their high complication rate and negative impact of those complications upon the knee and the whole lower limb, distal femoral fractures require optimal... INTRODUCTIONDue to their high complication rate and negative impact of those complications upon the knee and the whole lower limb, distal femoral fractures... |
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Title | Treatment Options for Distal Femoral Fractures |
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