Minimally invasive plate osteosynthesis of the femur

Although intramedullary nailing of femoral fractures is a highly successful method, there are situations in which plating presents a better choice. These situations include severely injured patients with compromised respiratory function, open fractures with a need for vascular repair, fractures invo...

Full description

Saved in:
Bibliographic Details
Published in:Operative techniques in orthopaedics 2001, Vol.11 (3), p.156-167
Main Authors: Kanlic, Enes M., Pesantez, Rodrigo F., Pachon, Claudia M.
Format: Article
Language:English
Subjects:
femur
fracture
minimally invasive
plate
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Although intramedullary nailing of femoral fractures is a highly successful method, there are situations in which plating presents a better choice. These situations include severely injured patients with compromised respiratory function, open fractures with a need for vascular repair, fractures involving the proximal or distal end of the femur, or in large children with complex fractures and open physes. Minimally invasive plate osteosynthesis provides adequate relative stability and avoids additional disturbance of the fracture zone, facilitating rapid and abundant reliable callus formation. We have reviewed 22 patients treated this way in the last 2 years. All but 3 fractures had healed primarily with a good functional result. In the adult group, additional procedures were performed as follows: 1 loose screw replacement, 1 bone grafting, and 1 intramedullary nailing.
ISSN:1048-6666
1558-3848
DOI:10.1016/S1048-6666(01)80002-1