Sung Won Cho; Sang Ho Ha; Gwang Chul Lee; Woong Hee Kim

doi:10.12671/jkfs.2013.26.3.205

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Original Article
Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Femur Fracture: Sung Won Cho, M.D., Sang Ho Ha, M.D., Gwang Chul Lee, M.D., Woong Hee Kim, M.D.; Journal of the Korean Fracture Society 2013;26(3):205-211.
DOI: https://doi.org/10.12671/jkfs.2013.26.3.205
Published online: July 15, 2013

Department of Orthopaedic Surgery, School of Medicine, Chosun University, Gwangju, Korea.

Address reprint requests to: Sang Ho Ha, M.D. Department of Orthopaedic Surgery, Chosun University Hospital, 365 Pilmun-daero, Dong-gu, Gwangju 501-717, Korea. Tel: 82-62-220-3147, Fax: 82-62-226-3379, shha@chosun.ac.kr

• Received: November 28, 2012 • Revised: March 20, 2013 • Accepted: June 11, 2013

This is anOpen Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

Purpose
To analyze the clinical and radiologic results of minimally invasive plate osteosynthesis (MIPO) for distal femur fractures using a locking compression plate (LCP) and to evaluate its usefulness.
Materials and Methods
From May 2006 to April 2011, 23 patients (24 cases) with distal femur fracture were treated by MIPO with a LCP and followed-up for at least 12 months. Mean age was 61.6 years (35-80 years). Union time and post-operative alignment were measured on radiograph, and clinical function was evaluated by range of motion (ROM), Knee Society Score and complications.
Results
In 22 patients (23 cases) except for 1 case, bony union was obtained after an average of 18 weeks (12-26 weeks). The mean ROM was 124 degrees (80-135 degrees). According to the Knee Society Score, there were 12 excellent, 8 good, 1 fair and 2 poor results and the mean score was 87.5 (60-98). Postoperative complications were nonunion in 1 case, ankylosis in 1 case, malunion in 2 cases and superficial wound infection in 2 cases.
Conclusion
The treatment of distal femoral fracture with MIPO using a LCP was considered a useful method which can result in satisfactory clinical and radiologic outcomes if there is accurate understanding about the surgical techniques and appropriate procedures involved.
Key words: Distal femur fracture, Minimally invasive plate osteosynthesis, Locking compression plate

REFERENCES

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Fig. 1

Indirect reduction and temporary plate fixation with reduction forceps and K-wires.

Fig. 2

(A, B) The initial radiograph of 68-year-old female shows comminuted metaphyseal fracture of distal femur (AO/OTA classification A3).

(C, D) Radiographs show a postoperative state.

(E, F) At postoperative 20 weeks, radiograph shows maintenance of reduction and bony union.

(G, H) At postoperative 20 weeks, range of motion of knee is good.

Fig. 3

(A, B) The initial radiograph of 69-year-old female shows simple spiral metaphyseal fracture of distal femur (AO/OTA classification A1).

(C, D) Post operative radiographs shows 7° valgus alignment: the epiphyseal screws are not parallel to the joint line.

(E, F) At postoperative 24 weeks, radiograph shows maintenance of reduction and bony union.

Table 1

Patient Demographics, Clinical and Radiographic Outcomes

KSS: Knee society score, ROM: Range of motion, AP: Anteriorposterior, Lat: Lateral, F: Female, M: Male, TA: Traffic accident, Supf.: Superficial.

Table 2

Comparison of Clinical Outcomes

KSS: Knee society score, ROM: Range of motion.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Surgical Treatment of AO/OTA 33-C Intra-Articular Distal Femoral Fractures through Parapatellar Approach
Suk Kyu Choo, Sung Tan Cho, Hyoung Keun Oh
Journal of the Korean Fracture Society.2022; 35(1): 1. CrossRef
Incidence of nonunion after surgery of distal femoral fractures using contemporary fixation device: a meta‐analysis
Byung-Ho Yoon, In Keun Park, Youngwoo Kim, Hyoung-Keun Oh, Suk Kyu Choo, Yerl-Bo Sung
Archives of Orthopaedic and Trauma Surgery.2021; 141(2): 225. CrossRef

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Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Femur Fracture

J Korean Fract Soc. 2013;26(3):205-211. Published online July 31, 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.3.205

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Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Femur Fracture

Fig. 1 Indirect reduction and temporary plate fixation with reduction forceps and K-wires.

Fig. 2 (A, B) The initial radiograph of 68-year-old female shows comminuted metaphyseal fracture of distal femur (AO/OTA classification A3). (C, D) Radiographs show a postoperative state. (E, F) At postoperative 20 weeks, radiograph shows maintenance of reduction and bony union. (G, H) At postoperative 20 weeks, range of motion of knee is good.

Fig. 3 (A, B) The initial radiograph of 69-year-old female shows simple spiral metaphyseal fracture of distal femur (AO/OTA classification A1). (C, D) Post operative radiographs shows 7° valgus alignment: the epiphyseal screws are not parallel to the joint line. (E, F) At postoperative 24 weeks, radiograph shows maintenance of reduction and bony union.

Fig. 1

Fig. 2

Fig. 3

Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Femur Fracture

Table 1

Patient Demographics, Clinical and Radiographic Outcomes

KSS: Knee society score, ROM: Range of motion, AP: Anteriorposterior, Lat: Lateral, F: Female, M: Male, TA: Traffic accident, Supf.: Superficial.

Table 2

Comparison of Clinical Outcomes

KSS: Knee society score, ROM: Range of motion.

Table 1 Patient Demographics, Clinical and Radiographic Outcomes

KSS: Knee society score, ROM: Range of motion, AP: Anteriorposterior, Lat: Lateral, F: Female, M: Male, TA: Traffic accident, Supf.: Superficial.

Table 2 Comparison of Clinical Outcomes

KSS: Knee society score, ROM: Range of motion.