Lateral and anterior plating of intra-articular distal femoral fractures treated via an anterior approach

Thirty-five patients with 36 displaced distal femoral fractures (16 AO-type C2 and 19 AO-type C3) were treated with an anterior approach and double plating and followed for an average of 7 (3-44) months. Bone grafting with allograft and demineralized bone matrix was used. Postoperative therapy inclu...

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Bibliographic Details
Published in:International orthopaedics 2002, Vol.26 (6), p.370-373
Main Authors: ZIRAN, B. H, ROHDE, R. H, WHARTON, A. R
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bone Plates
Female
Femoral Fractures - surgery
Fracture Fixation, Internal - methods
Fracture Healing
Humans
Knee Joint - surgery
Male
Medical sciences
Original Paper
Orthopedic surgery
Postoperative Care - methods
Range of Motion, Articular
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
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Summary:Thirty-five patients with 36 displaced distal femoral fractures (16 AO-type C2 and 19 AO-type C3) were treated with an anterior approach and double plating and followed for an average of 7 (3-44) months. Bone grafting with allograft and demineralized bone matrix was used. Postoperative therapy included immediate ROM and non-weight bearing for 12 weeks. Two patients died during hospitalization and one was lost to follow-up. Reductions were near anatomic in all but three patients. Uneventful healing by 16 weeks occurred in 24/36 fractures. Double plating via the anterolateral approach minimized stripping of the medial side and improved controlled access to the distal femur.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-002-0383-z