Minimally Invasive Plate Osteosynthesis Using a Locking Compression Plate for Distal Femoral Fractures

Nayak, Ravi Mohan; Koichade, Maroti R; Umre, Alok N; Ingle, Milind V

doi:10.1177/230949901101900211

Cited by 54 publications

(38 citation statements)

References 34 publications

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“…7 Strength under axial compression was better with the LCP system than with the blade plate or nailing, by 34 and 13% respectively, but strength under torsion was reduced. [8][9][10][11][12] The authors observed better distal fixation with the LCP system with loss of distal fixation in only one LCP plate (6%), three blade plates (38%) and eight losses with retrograde intramedullary nailing (100%).…”

Section: Discussionmentioning

confidence: 94%

Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate

Krishna

Shankar

2016

Int Surg J

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Section: Discussionmentioning

confidence: 94%

Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate

Krishna

Shankar

2016

Int Surg J

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“…For minimizing those disadvantages, close reduc on and minimal exposure to facilitate the inser on of retrograde intramedullary nail with preserva on of periosteum and fracture hematoma. Newly introduced minimal invasive plate osteosynthesis (MIPO) techniques were successfully applied in complex extra-ar cular fractures and a modified technique en tled Transar cular Approach and Retrograde Plate Osteosynthesis (TARPO) was developed for complex [19][20][21] supracondylar and intercondylar femoral fractures. Since the use of pla ng and nailing technique has modernized, there has been a major improvement in the treatment of distal femur fractures.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Surgical Management of Distal Femur Fracture with Distal Femoral Locking Compression Plate at Koshi Zonal Hospital

Sah¹,

Karn

et al. 2018

Birat J. Health Sci.

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Introduction: Distal femoral fractures comprise 4-6% of all femur fractures. The management of distal femur fractures are challenging because of significant morbidity and complication rate even with advanced surgical techniques and implants. Open reduction and internal fixation (ORIF) with pre-contoured distal femoral locking compression plate (DF-LCP) is one of the most acceptable surgical procedures these days.Objectiv: Evaluation of functional outcomes of distal femur fractures managed surgically using DF-LCP at Koshi Zonal Hospital.Methodology: In this cross sectional study 21 patients having closed distal femur fractures with or without intra-articular extension to femoral condyle fixed with DF-LCP at Koshi Zonal Hospital, Nepal from March 2016 to March 2017 were included. Patients with open fracture, severe comminuted fracture, and neurovascular impairment were excluded. These patients were followed-up for up to one year and we recorded the knee range of motion, full weight bearing time fracture union time, and complications. We used Neers' functional scoring system to evaluate the final outcomes and data was analysed using Microsoft Excel Programe.Results: Out of the 21 patients of distal femur fractures, 16 were diametaphyseal distal femur fractures and five were supracondylar fractures with intra-articular extension. Mean age recorded was 45 (range 19-75) years, hospital stay mean duration 12 (range 10-19) days and duration of surgery 85 (range 60-150) minutes, full weight bearing walking time mean 16 (range 12-22) weeks, radiological union time mean 20 (range 17-29) weeks and Neers' score was excellent in 66.66%, satisfactory in 23.80%, unsatisfactory in 4.76%, and poor in 4.76%.None of our patients had complications like; loss of fixation, implant failure or post-operative neurovascular injury.Conclusion: Distal Femoral Locking Plate is one of the best implant to be used as fixation method for both extra-articular and intraarticular distal femur fracture.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 260-265

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“…The combination of locking compression plate and the minimally invasive plate osteosynthesis (MIPO) technique has proved very effective in the treatment of periprosthetic distal femoral fractures as it maintains reduction and anatomical alignment of the fracture while minimizing soft tissue dissection. [9,12] It provides excellent functional and radiological results with fewer complications. [12] It also eliminates the need for bone grafting.…”

Section: Discussionmentioning

confidence: 99%

“…It preserves the periosteal blood supply and perfusion of the bone as it minimizes soft tissue dissection. [9] The technique is effective in providing excellent clinical, radiological and functional outcomes with fewer complications. [9] J of Evolution of Med and Dent Sci/ eISSN-2278-4802, pISSN-2278-4748/ Vol.…”

Section: Introductionmentioning

confidence: 99%

Management of Periprosthetic Distal Femoral Fracture After Total Knee Arthroplasty Using Minimally Invasive Plate Osteosynthesis: A Case Report

Reddy¹,

Subramanaian²,

Reddy³

et al. 2015

jemds

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CONTEXT: The approximate incidence of periprosthetic supracondylar femur fractures after total knee arthroplasty ranges from 0.3 to 2.5 percent. Various methods of treatment of these fractures have been suggested in the past, such as conservative management, open reduction and plate fixation and intramedullary nailing. However, there were complications like pain, stiffness, infection and delayed union. Minimally invasive plate osteosynthesis (MIPO) is a relatively newer technique in the treatment of distal femoral fractures, as it preserves the periosteal blood supply and bone perfusion as well as minimizes soft tissue dissection. AIM: To evaluate the effectiveness of MIPO technique in the treatment of periprosthetic distal femoral fracture. SETTINGS AND DESIGN: In this study, we present a case report of a 54 year old female patient who sustained type 2 (Rorabeck et al. classification) periprosthetic distal femoral fractures after TKA. Her fracture fixation was done with distal femoral locking plates using minimally invasive technique. METHODS AND MATERIAL: We evaluated the clinical (using Oxford knee scoring system) and radiological outcomes of the patient till six months post-operatively. Radiologically, the fracture showed complete union and she regained her full range of knee motion by the end of three months. CONCLUSION: We conclude that MIPO can be considered as an effective surgical treatment option in the management of periprosthetic distal femoral fractures after TKA.

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Minimally Invasive Plate Osteosynthesis Using a Locking Compression Plate for Distal Femoral Fractures

Abstract: MIPO using a LCP achieves favourable biological fixation for distal femoral fractures with few complications. Bone grafting is not needed even in cases of metaphyseal comminution. Proper patient selection and preoperative planning are essential to prevent complications.

Cited by 54 publications

References 34 publications

Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate

Current concept of management of supracondylar femur fracture: retrograde femoral nail or distal femoral locking plate

Outcomes of Surgical Management of Distal Femur Fracture with Distal Femoral Locking Compression Plate at Koshi Zonal Hospital

Management of Periprosthetic Distal Femoral Fracture After Total Knee Arthroplasty Using Minimally Invasive Plate Osteosynthesis: A Case Report

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