Comparison of Results of Minimally Invasive Plate Osteosynthesis according to Types of Locking Plate in Distal Femoral Fractures.
10.12671/jkfs.2012.25.4.269
- Author:
Oog Jin SHON
1
;
Moon Soo KWON
;
Chul Hyun PARK
Author Information
1. Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea. chpark77@naver.com
- Publication Type:Original Article
- Keywords:
Distal femoral fracture;
Minimally invasive plate osteosynthesis;
Locking compression plate;
Periarticular locking plate
- MeSH:
Compliance;
Femoral Fractures;
Femur;
Humans;
Knee;
Range of Motion, Articular;
Retrospective Studies
- From:Journal of the Korean Fracture Society
2012;25(4):269-276
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare results of minimally invasive plate osteosynthesis using a locking compression plate and a periarticular locking plate in distal femur fractures. MATERIALS AND METHODS: We retrospectively reviewed 31 consecutive femoral fractures who treated by minimally invasive plate osteosynthesis from April 2006 to May 2009. Sixteen patients were treated using a locking compression plate (group A) and 15 patients were treated using a periarticular locking plate (group B). RESULTS: The mean operation time was 78 minutes and 76 minutes (p=0.273), and the mean radiation exposure time was 1.9 minutes and 2.3 minutes (p=0.001) in the group A and B, respectively. The plate bending during operation was performed in 4 cases of group A. The knee range of motion was 117.5degrees and 118.2degrees (p=0.825), and the Lysholm score was 81.3 and 81.8 (p=0.723) in the group A and B, respectively. Schazker criteria showed more than good grade in 93.8% of group A and in 93.3% of group B (p=1.0). CONCLUSION: No significant differences in clinical results were observed between the two groups. However, a lower anatomical compliance was showed in the locking compression plate, and a higher risk of radiation exposure was showed in the periarticular locking plate.
