Anatomical and clinical justification of a minimally invasive technique for implantation an additional medial plate for bone osteosynthesis in patients with fractures of the distal femur

Кочиш, А. Ю.; Беленький, И. Г.; Sergeev, G.D.; Майоров, Б. А.

doi:10.18019/1028-4427-2020-26-3-306-312

Cited by 3 publications

(1 citation statement)

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“…Eight of 12 studies were small case series describing outcomes for medial and lateral dual-plated distal femoral fractures. [23][24][25][26][27][28][29][30] Four studies compared clinical outcomes between DP and LLP. [6,7,31,32] Two studies included a minority of periprosthetic fractures in a combined cohort with native distal femur fractures.…”

Section: Resultsmentioning

confidence: 99%

Medial and lateral dual plating of native distal femur fractures: a systematic literature review

O’Neill

Hakim

DeKeyser

et al. 2023

OTA International: The Open Access Journal of Orthopaedic Trauma

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Introduction:Lateral locked plating (LLP) development has improved outcomes for distal femur fractures. However, there is still a modest rate of nonunion in fractures treated with LLP alone, with higher nonunion risk in high-energy fractures, intra-articular involvement, poor bone quality, severe comminution, or bone loss. Several recent studies have demonstrated both the safety and the biomechanical advantage of dual medial and lateral plating (DP). The purpose of this study was to evaluate the clinical outcomes of DP for native distal femoral fractures by performing a systematic review of the literature.Methods:Studies reporting clinical outcomes for DP of native distal femur fractures were identified and systematically reviewed. Publications without full-text manuscripts, those solely involving periprosthetic fractures, or fractures other than distal femur fractures were excluded. Fracture type, mean follow-up, open versus closed fracture, number of bone grafting procedures, nonunion, reoperation rates, and complication data were collected. Methodologic study quality was assessed using the Coleman methodology score.Results:The initial electronic review and reverse inclusion protocol identified 1484 publications. After removal of duplicates and abstract review to exclude studies that did not discuss clinical treatment of femur fractures with dual plating, 101 potential manuscripts were identified and manually reviewed. After final review, 12 studies were included in this study. There were 199 fractures with average follow-up time of 13.72 months. Unplanned reoperations and nonunion occurred in 19 (8.5%) and 9 (4.5%) cases, respectively. The most frequently reported complications were superficial infection (n = 6, 3%) and deep infection (n = 5, 2.5%) postoperatively. Other complications included delayed union (n = 6, 3%) not requiring additional surgical treatment and knee stiffness in four patients (2%) necessitating manipulation under anesthesia or lysis of adhesions. The average Coleman score was 50.5 (range 13.5–72), suggesting that included studies were of moderate-to-poor quality.Conclusions:Clinical research interest in DP of distal femoral fractures has markedly increased in the past few decades. The current data suggest that DP of native distal femoral fractures is associated with favorable nonunion and reoperation rates compared with previously published rates associated with LLP alone. In the current review, DP of distal femoral fractures was associated with acceptable rates of complications and generally good functional outcomes. More high-quality, directly comparable research is necessary to validate the conclusions of this review.

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Section: Resultsmentioning

confidence: 99%

Medial and lateral dual plating of native distal femur fractures: a systematic literature review

O’Neill

Hakim

DeKeyser

et al. 2023

OTA International: The Open Access Journal of Orthopaedic Trauma

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Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review

DeKeyser

Hakim

O’Neill

et al. 2021

Arch Orthop Trauma Surg

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Features and Results of Knee Arthroplasty after Knee Fractures Fixation

Расулов¹,

Kulyaba²,

Kornilov

et al. 2021

Traumatology and Orthopedics of Russia

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Abstract The purpose of the study - to find out surgical intervention features, the function restoration dynamics and clinical results after primary total knee replacement (TKA) in patients with a history of osteosynthesis of intra-articular fractures, to assess the risk of complications and to suggest measures for their prevention. Material and methods. The study includes a retrospective (100 observations) and prospective (40 observations) comparative analysis of the results of primary TKA in patients with a history of osteosynthesis of intra-articular fractures (MOS) of the bones forming the knee joint (main group) and without them (comparison group). Adapted Russian-language versions of the KSS, WOMAC and FJS-12 score scales were used to study the clinical and functional results of the TKA, the incidence of any complications after arthroplasty and the X-ray position of the endoprosthesis components on the KRESS scale were evaluated. Statistical analysis of the data obtained was carried out in accordance with generally accepted methods. Results. Statistically significant differences were revealed between the patients of the main and the comparison groups according to the following indicators: the patients of the main group were 8 years younger, the duration of the operation time, the volume of intraoperative blood loss, the need for implantation of structures with an increased degree of mechanical coupling between the components of the endoprosthesis, the number of postoperative complications were greater in the patients of the main group. Functional results on the KSS and WOMAC scales did not have statistically significant and clinically differences, when assessing the satisfaction of TKA on the FJS-12 scale, statistically significantly worse results were obtained in the main group. TKA in patients with a history of MOS for intraarticular fractures of the knee joint area statistically and clinically significantly increased the amplitude of movements in the knee joint - from 89 to 108 , that is, by 19 , the function recovery dynamics according to the KSS, WOMAC and FJS-12 scales was slowed down at 3 and 6 months, and according to the WOMAC and FJS-12 scales and by 12 months after surgery. Conclusion. The trauma and subsequent surgical treatment of intra-articular fractures of the knee joint leads to an earlier development of posttraumatic arthritis of the 3rd degree, functional results have no statistically significant differences, satisfaction with the results of TKA in this category of patients is less, and the number of postoperative complications, are greater. A history of MOS significantly slows down the dynamics and degree of recovery of function in the early postoperative period.

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Anatomical and clinical justification of a minimally invasive technique for implantation an additional medial plate for bone osteosynthesis in patients with fractures of the distal femur

Cited by 3 publications

References 0 publications

Medial and lateral dual plating of native distal femur fractures: a systematic literature review

Medial and lateral dual plating of native distal femur fractures: a systematic literature review

Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review

Features and Results of Knee Arthroplasty after Knee Fractures Fixation

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