Highly unstable complex C3-type distal femur fracture: can double plating via a modified Olerud extensile approach be a standby solutionReport as inadecuate




Highly unstable complex C3-type distal femur fracture: can double plating via a modified Olerud extensile approach be a standby solution - Download this document for free, or read online. Document in PDF available to download.

Journal of Orthopaedics and Traumatology

, Volume 13, Issue 4, pp 179–188

First Online: 26 June 2012Received: 10 September 2011Accepted: 06 June 2012

Abstract

BackgroundMultiplanar complex C3-type unstable distal femoral fractures present many challenges in terms of approach and fixation. This prospective study investigates a possible solution to these problems through double plating with autogenous bone grafting via a modified Olerud extensile approach.

Materials and methodsTwelve patients with closed C3-type injuries were included; eight of them were male, and their mean age was 33.5 years range 22–44 years. Mechanism of injury was road traffic accident RTA in nine patients and fall from height in the other three cases. Eight cases were operated during the first week and four cases during the second week after injury. Mean follow-up was 13.7 months range 11–18 months.

ResultsMean radiological healing time was 18.3 weeks range 12-28 weeks, and all cases had good radiological healing without recorded nonunion or malunion. Clinically, two cases 16.7 % had excellent results, five cases 41.7 % had good results, three cases 25 % had fair results, and two cases 16.7 % had poor results. No cases developed skin necrosis, deep infection, bone collapse, or implant failure. However, two cases 16.7 % had limited knee flexion to 90° and required subsequent quadricepsplasty.

ConclusionsUse of this modified highly invasive approach facilitated anatomical reconstruction of C3-type complex distal femoral fractures with lower expected complication rate and acceptable clinical outcome, especially offering good reconstruction of the suprapatellar pouch area. It can be considered as a standby solution for managing these difficult injuries.

KeywordsHighly unstable C3-type distal femur fracture Extensile approach Distal femur double plating Multiplanar femoral condyle fractures  Download fulltext PDF



Author: Ayman El-Sayed Khalil - Mostafa Ahmed Ayoub

Source: https://link.springer.com/







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