Predictive factors of distal femoral fracture nonunion after lateral locked plating: A retrospective multicenter case-control study of 283 fractures

Rodriguez, Edward K.; Boulton, Christina; Weaver, Michael J.; Herder, Lindsay; Morgan, Jordan H.; Chacko, Aron T.; Appleton, Paul; Zurakowski, David; Vrahas, Mark

doi:10.1016/j.injury.2013.10.042

Cited by 181 publications

(168 citation statements)

References 29 publications

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“…10,11 In addition, it is has been reported that obesity may impact long-term functional outcomes and union rates in DF fractures. 12 Nevertheless, our findings may assuage physician concerns for increased postoperative complications in these patients to some extent.…”

Section: S197mentioning

confidence: 79%

“…The AAE rates of 44% in PF and 50% in IMN are higher than those cited by other investigators. 11,12 In a retrospective study by Hoffmann et al of 243 surgically treated DF fractures treated with locked PF, 12.6% had surgical complications, the most common of which was deep infection. 13 Initial results from an ongoing trial conducted by Tornetta et al in a randomized trial for 156 patients undergoing PF or IMN for distal femur fractures demonstrated slightly improved functional results for the IMN patients across groups though differences did not reach statistical significance.…”

Section: Discussionmentioning

confidence: 99%

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Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation

Pean

Konda

Fields

et al. 2015

Journal of Orthopaedics

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Section: S197mentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation

Pean

Konda

Fields

et al. 2015

Journal of Orthopaedics

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“…4 They showed that each of these above factors contributed significantly to non-union with the non-union rates approaching 100% with more than one factor. In our study all our patients were treated by indigenous bone setters with native splints and they presented to us as primary non-unions.…”

Section: Discussionmentioning

confidence: 99%

“…There were 16 patients with AO Type A, 4 with AO Type B and one patient with Type C. All patients underwent open reduction, internal fixation with plate and screws and bone grafting. Serial follow-ups were done at 4,8, 12, 16, 20, 24 weeks and 6 monthly thereafter. Results: All 21 patients had complete fracture healing at average of 19 weeks .…”

Section: Introductionmentioning

confidence: 99%

Functional and radiological outcome following operative skeletal stabilisation with bone grafting in distal femur non-unions: a study of 21 patients

Balasubramanian

Sindhuja

2017

Int J Res Orthop

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INTRODUCTIONIn India, the number of road accidents are amongst the highest in the world. With an estimated 1,50,000 losing their lives on Indian roads every year. The number of non-fatal accidents with resulting long bone fractures is estimated to be in excess of 5 million each year. Although the number of health care centres, both government run and private owned is high, there are still a small but significant subset of people who throng to the native bone setters for their treatment inspite of the government's crackdown on such spurious centres. The main reason for this is the high cost involved in managing such fractures and the taboo associated with surgical correction. This in the recent past has shown a declining trend and more patients are attending fracture clinics and hospitals because of better medical insurance coverage (both government and private) and better patient awareness towards the complications associated with such native splinting. However we still encounter sporadic cases of either fracture malunion and non-unions in our clinical practice.Distal femur fractures show a bimodal age distribution. 1 They are mostly high velocity injuries in the young and domestic injuries due to osteoporosis in the elderly ABSTRACT Background: The study was done to assess the functional and radiological outcome after operative skeletal stabilisation with bone grafting in 21 patients who presented to us with distal femur non-unions. Methods: Between August 2008 and October 2015, 21 patients (M:F-14:7) with established non-unions of the distal femur were included. All patients presented to us with established non-union following treatment with a native bone setter using splints. There were 16 patients with AO Type A, 4 with AO Type B and one patient with Type C. All patients underwent open reduction, internal fixation with plate and screws and bone grafting. Serial follow-ups were done at 4,8, 12, 16, 20, 24 weeks and 6 monthly thereafter. Results: All 21 patients had complete fracture healing at average of 19 weeks . Knee flexion (ROM) improved from an average 16® pre-op to 66® post-operatively. There were no implant failure, infection or nonunions in our study. The Knee Society score improved from 54 pre-operatively to 74 post-operatively at last followup. Conclusions: Even in established non-unions, good results can be expected if good surgical technique is followed and with bone grafting satisfactory union rated can be achieved. Knee ROM also improves with dedicated postoperative rehabilitation.

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“…[1][2][3] A classic bimodal distribution exist with one peak in incidence in young men (15-30 years) and elderly women (>70 years). 4,5 Young patients are affected by high velocity trauma(including motor vehicle accident, motorcycle or sports injury) and elderly are predisposed to low energy fracture due to osteoporosis. 3,6 Although not as common as femoral shaft or hip fractures, fractures of the distal femur are complex injuries and difficult to manage.…”

Section: Introductionmentioning

confidence: 99%

Role of distal femoral locking plate in management of distal femoral fracture: a prospective study

2017

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Background: Distal femoral fracture one of common surgical challenges for an orthopaedic surgeon. Distal femoral locking plate is a good implant to be used in this anatomical location. Aim of our study was to review functional outcome, union time and complications in distal femoral fracture treated with distal femoral locking plate.Methods: A prospective study was done during June 2012 to July 2016. Patients were included on the basis of inclusion and exclusion criteria. These patients were managed with distal femoral locking plate by close or open method. Pritchett rating system was used to assess functional outcome of patient.Results: Total 28 patient were enrolled in our study. There were 21 male and 7 female. The age range was from 21 to 68 years. Functional outcome was excellent in 14 patient, good in 7 Patient fair in 3 and poor 4. Conclusions: Distal femoral locking plate is a reliable implant for treatment of distal femoral fracture including osteoporotic fractures. Proper surgical technique is key to good result.

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Predictive factors of distal femoral fracture nonunion after lateral locked plating: A retrospective multicenter case-control study of 283 fractures

Cited by 181 publications

References 29 publications

Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation

Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation

Functional and radiological outcome following operative skeletal stabilisation with bone grafting in distal femur non-unions: a study of 21 patients

Role of distal femoral locking plate in management of distal femoral fracture: a prospective study

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