Effects of femoral condylar buttress plate on repair of distal femoral fractures
10.3969/j.issn.2095-4344.2014.26.013
- VernacularTitle:股骨髁部支撑钢板修复股骨远端骨折效果评价
- Author:
Xiumin WANG
- Publication Type:Journal Article
- Keywords:
femoral fractures;
bone plates;
internal fixators;
treatment outcome
- From:
Chinese Journal of Tissue Engineering Research
2014;(26):4168-4172
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Distal femoral fractures are complex and unstable, and combined with severe injury to local soft tissue and microcirculation. Fracture healing is difficult. Condylar buttress plate is commonly used in the clinic. However, the factors affecting its prognosis are various, and the reports are diverse. OBJECTIVE:To investigate the factors affecting clinical efficacy of femoral condylar buttress plate for distal femoral fractures. METHODS:Clinical data of 84 patients with distal femoral fractures undergoing surgical treatment with femoral condylar buttress plate were retrospectively analyzed. Possible influential factors were screened by univariate analysis and logistic regression analysis. RESULTS AND CONCLUSION:Of the 84 patients, 63 cases (75%) rated as excellent by Neer scores. Univariate analysis of variance showed significant differences in age, fracture category, type of injury, timing of surgery, quality of reduction and CPM exercise among groups (P<0.05). Logistic regression analysis showed that older patients had poorer therapeutic effects (OR=0.797). Patients with satisfactory reduction, type fracture and CPM exercise had good therapeutic effects (OR=2.275, 1.756, 2.885, respectively). Results exhibited that satisfactory reduction, fitting joints, and early CPM exercises could effectively contribute to functional recovery of knee joint during implantation of condylar buttress plate in patients with distal femoral fractures. For patients with type C fracture, double plates can be used to strengthen fixation and to elevate therapeutic effects.
