Internal fixators: a safe option for managing distal femur fractures?
Acta ortop. bras
;
22(3): 159-162, 2014. tab, graf
Article
in English
| LILACS
| ID: lil-716241
ABSTRACT
OBJECTIVE:
Evaluate safety and reliability of internal fixator for the treatment of intra-articular and periarticular distal femur fractures.METHODS:
Retrospective data evaluation of 28 patients with 29 fractures fixed with internal fixator was performed. There was a predominance of male patients (53.5%), with 52% of open wound fractures, 76% of AO33C type fractures, and a mean follow up of 21.3 months. Time of fracture healing, mechanical axis deviation, rate of infection and postoperative complications were registered.RESULTS:
Healing rate was 93% in this sample, with an average time of 5.5 months. Twenty-seven percent of patients ended up with mechanical axis deviation, mostly resulting from poor primary intra-operative reduction. There were two cases of implant loosening; two implant breakage, and three patients presented stiff knee. No case of infection was observed. Healing rate in this study was comparable with current literature; there was a high degree of angular deviation, especially in the coronal plane.CONCLUSION:
Internal fixators are a breakthrough in the treatment of knee fractures, but its use does not preclude application of principles of anatomical articular reduction and mechanical axis restoration. Level of Evidence II, Retrospective Study. .
Full text:
Available
Index:
LILACS (Americas)
Type of study:
Observational study
Language:
English
Journal:
Acta ortop. bras
Journal subject:
Orthopedics
Year:
2014
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR
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