Kap-Jung Kim; Sang Ki Lee; Won-Sik Choy; Won-Cho Kwon; Do Hyun Lee

doi:10.12671/jkfs.2010.23.1.20

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Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes(R)): Kap-Jung Kim, M.D., Sang Ki Lee, M.D., Won-Sik Choy, M.D., Won-Cho Kwon, M.D., Do Hyun Lee, M.D.; Journal of the Korean Fracture Society 2010;23(1):20-25.
DOI: https://doi.org/10.12671/jkfs.2010.23.1.20
Published online: January 31, 2010

Department of Orthopedic Surgery, Eulji University College of Medicine, Daejeon, Korea.

Address reprint requests to: Kap-Jung Kim, M.D. Department of Orthopedic Surgery, Eulji University College of Medicine, 1306, Dunsan-dong, Seo-gu, Daejeon 302-799, Korea. Tel: 82-42-611-3279, Fax: 82-42-259-1289, oskkj@eulji.ac.kr

• Received: September 15, 2009 • Revised: November 23, 2009 • Accepted: December 4, 2009

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Abstract
REFERENCES

Abstract

Purpose
To analyze the surgical results of AO type C distal femoral fractures using locking compression plate.
Materials and Methods
From February 2006 to June 2008, 14 patients 15 cases were included. Injury mechanisms, combined injuries, radiologic and clinical results and postoperative complications were analyzed.
Results
The mean age was 59.6 (30~77) years. The mean follow up period was 25 (12~40) months. AO types were 3 of C1, 5 of C2 and 7 of C3. Injury mechanisms were 9 of traffic accident, 5 of slip down and 1 of fall from a height. Four cases were combined with other extremity injuries or fractures. The mean radiologic union was obtained at postoperative 15 (13~20) weeks. The mean Neer's functional score was 74.2 (58~97); 3 of excellent, 5 of satisfactory and 7 of unsatisfactory. Postoperative complications were 2 of infection and 1 of nonunion. There were no mechanical failures or fixation loss with locking compression plate at the final follow up.
Conclusion
Internal fixation using locking compression plate for AO type C distal femoral fractures provided excellent fixations. At the final follow up, the clinical results were variable. The affecting factors on the final results seemed to be joint congruencies after anatomical reduction and active rehabilitation.
Key words: Distal femoral fractures, AO type C, Locking compression plate, Neer's functional score

REFERENCES

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Fig. 1

(A) Initial radiographs show the distal femoral fracture of AO type C3.

(B) Initial CT scans show the intra-articular fracture fragments. Sagittal image shows Hoffa fracture fragments.

(C) Postoperative radiographs show very congruent articular surface with good alignment. Fracture fragments are reduced and stabilized with locking compression plate and additional Acutrak and cable.

(D) Radiographs 16 months after surgery show the healed fracture with callus in good alignment.

Fig. 2

Mean Neer's functional scores of each subtype of AO type C. It doesn't have statistical significance between subtypes of AO type C and mean Neer's scores.

Table 1

Patients' data

No: Number, FU: Follow up, M: Male, F: Female, TA: Traffic accident.

Table 2

Patients' Neer score

Figure & Data

REFERENCES

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A STUDY OF SURGICAL MANAGEMENT OF DISTAL FEMORAL FRACTURES BY DISTAL FEMORAL LOCKING COMPRESSION PLATE OSTEOSYNTHESIS
Dema Rajaiah, Yerukala Ramana, Kuppa Srinivas, Venkateswar Reddy S
Journal of Evidence Based Medicine and Healthcare.2016; 3(66): 3584. CrossRef

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Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes(R))

J Korean Fract Soc. 2010;23(1):20-25. Published online January 31, 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.1.20

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Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes(R))

Fig. 1 (A) Initial radiographs show the distal femoral fracture of AO type C3. (B) Initial CT scans show the intra-articular fracture fragments. Sagittal image shows Hoffa fracture fragments. (C) Postoperative radiographs show very congruent articular surface with good alignment. Fracture fragments are reduced and stabilized with locking compression plate and additional Acutrak and cable. (D) Radiographs 16 months after surgery show the healed fracture with callus in good alignment.

Fig. 2 Mean Neer's functional scores of each subtype of AO type C. It doesn't have statistical significance between subtypes of AO type C and mean Neer's scores.

Fig. 1

Fig. 2

Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes(R))

Table 1

Patients' data

No: Number, FU: Follow up, M: Male, F: Female, TA: Traffic accident.

Table 2

Patients' Neer score

Table 1 Patients' data

No: Number, FU: Follow up, M: Male, F: Female, TA: Traffic accident.

Table 2 Patients' Neer score