Results in treatment of distal femur fractures using polyaxial locking plate

Abstract

Indications and techniques of locked plate fixation for the treatment of challenging fractures continue to evolve. As design variant of classic locked plates, the polyaxial locked plate has the ability to alter the screw angle and thereby, enhance fracture fixation. The aim of this observational study was to evaluate clinical and radiographic results in 89 patients with 90 fractures of the distal femur treated, between June 2006 and November 2011, with such a polyaxial locked plating system (Polyax™ Locked Plating System, DePuy, Warsaw, IN, USA). Seventy-seven fractures formed the report of this study. These cases were followed up until complete fracture healing or for a mean time of 77 weeks. At the time of last follow-up, 58 of 77 fractures (75.3 %) progressed to union without complication and radiographic healing occurred at a mean time of 16.3 weeks. Complications occurred in ten fractures that did not affect the healing and in nine fractures that showed delayed or non-union. The mean American Knee Society Score at the time of final follow-up was 83 for the Knee Score and 71.1 for the Functional Score. In conclusion, there is a high union rate for complex distal femoral fractures associated with a good clinical outcome in this series.

Assessment of Outcomes of Treatment of Fractures of Distal Femur with a Locking Plate Taking into Account Factors Influencing the Result

“…The mean clinical KSS score in our group was 77.59 and the functional KSS was 71.91. In the literature, clinical KSS scores are slightly better and range from 83 to 88.8 while the functional KSS scores are similar to ours, ranging from 71 to 77.77 [24,25,26].…”

“…Śred ni wy nik ska li KSS w czę ści kli nicz nej w naszym ma te ria le wy niósł 77,59, a w czę ści funk cjo nalnej 71,91. W pi śmien nic twie wy ni ki czę ści kli nicznej ska li KSS są nie co lep sze i wa ha ją się w gra nicach 83 -88,8, a w czę ści funk cjo nal nej są po rów nywal ne 71 -77,77 [24,25,26].…”

A study of long term functional outcome of surgical management of distal femur fractures in adults using locking compression plate in Indian rural set up

“…Mean radiological fracture union time was 16.2 weeks. In R. pascarella et al [8] study mean radiological fracture union time was 16.3 weeks Delayed union occurred in 2 cases due to premature weight bearing against medical advice and comminution at the fracture site. 5% of cases reported delayed union.…”

Results of distal femur fractures managed by blade plate 95° at Brazzaville teaching hospital

“…6,[12][13][14] The condylar plates and the plate screws are used by some authors in the epiphyseal fractures of the distal femur. [6][7][8]12,15 On the other hand, others use retrograde nails in fractures of the distal femur, especially in overlying fractures with total knee arthroplasty. [16][17][18] For Kim et al, retrograde nail with or without acrylic cement, appears to be a good surgical option for treating fractures of the distal femur on porous bone.…”