Comparison of Results of Minimally Invasive Plate Osteosynthesis according to Types of Locking Plate in Distal Femoral Fractures

PURPOSE: To compare results of minimally invasive plate osteosynthesis using a locking compression plate and a periarticular locking plate in distal femur fractures. MATERIALS AND METHODS: We retrospectively reviewed 31 consecutive femoral fractures who treated by minimally invasive plate osteosynthesis from April 2006 to May 2009. Sixteen patients were treated using a locking compression plate (group A) and 15 patients were treated using a periarticular locking plate (group B). RESULTS: The mean operation time was 78 minutes and 76 minutes (p=0.273), and the mean radiation exposure time was 1.9 minutes and 2.3 minutes (p=0.001) in the group A and B, respectively. The plate bending during operation was performed in 4 cases of group A. The knee range of motion was 117.5degrees and 118.2degrees (p=0.825), and the Lysholm score was 81.3 and 81.8 (p=0.723) in the group A and B, respectively. Schazker criteria showed more than good grade in 93.8% of group A and in 93.3% of group B (p=1.0). CONCLUSION: No significant differences in clinical results were observed between the two groups. However, a lower anatomical compliance was showed in the locking compression plate, and a higher risk of radiation exposure was showed in the periarticular locking plate.

Intraneural Hemangioma of the Median Nerve: A Case Report

Hemangioma of the median nerve is very rare and a few cases of intraneural hemangioma of this nerve have been reported in the literature. We present a case of 33-year-old man who had an intraneural hemangioma of the median nerve. He complained of symptoms of carpal tunnel syndrome for a month. On preoperative ultrasonography, a mass of the median nerve was observed in the region of the right wrist. At surgery, a mass of the median nerve was removed totally and histopathologic examination confirmed an intraneural hemangioma of the median nerve. The symptoms were relieved completely without any neurologic deficit after the operation.