Another therapy for osteoporotic Su Kind III periprosthetic supracondylar femur fractures: Double locking plate fixation.
Acta Orthop Traumatol Turc. 2018 Mar;52(2):92-96
Authors: Çiçek H, Tuhanio?lu Ü, O?ur HU, Seyfettino?lu F, Bozkurt M
INTRODUCTION: Sufferers with Su Kind III fractures primarily based on complete knee arthroplasty (TKA) represent a affected person group with problematic therapy and administration. Though it has difficulties, open discount and inner fixation is likely one of the therapy choices.
METHOD: A retrospective analysis was manufactured from 22 sufferers surgically handled in our clinic with double locking, low contact titanium plate and screw for a Su Kind III periprosthetic fracture primarily based on TKA. The sufferers had been evaluated with bone mineral densitometry, postoperative Knee Society Rating (KSS), WOMAC and radiological evaluations.
RESULTS: The imply follow-up interval of the sufferers was 68.6 ± 15.5 months, with pain-free weight-bearing decided at four.9 ± 1.1 months and imply radiological union at 18.5 ± four.Three weeks. Revision was required due to non-union in 2 (9.09%) circumstances. The postoperative KSS worth was 81.eight ± 7.eight, the WOMAC worth was 78.1 ± 5.Three and the T-score was -Three.Three ± zero.Three. On the remaining follow-up examination, a correction loss (four.9° ± 1.5°) was decided within the imply knee valgus angle in keeping with the mechanical axis, which was statistically vital however remained inside the physiological limits (p = zero.21).
CONCLUSION: Along with offering some great benefits of inflexible fixation along with early and efficient rehabilitation, passable medical and radiological outcomes had been obtained with the appliance of double locking plate and screw within the therapy of periprosthetic femoral fractures primarily based on TKA, with osteoporosis.
LEVEL OF EVIDENCE: Degree IV, Therapeutic research.
PMID: 29306499 [PubMed – indexed for MEDLINE]