Locked Plating in Elderly Patients with Distal Femur Fracture: How to Avoid Complications?
10.12671/jkfs.2019.32.2.112
- Author:
Chul Young JANG
1
;
Je Hyun YOO
Author Information
1. Department of Orthropaedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea. oships@hallym.ac.kr
- Publication Type:Review
- Keywords:
Distal femur;
Osteoporotic fracture;
Lateral locked plating;
Complications
- MeSH:
Aged;
Femur;
Hand;
Humans;
Orthopedics;
Osteoporosis;
Osteoporotic Fractures
- From:Journal of the Korean Fracture Society
2019;32(2):112-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Distal femur fractures in elderly patients with osteoporosis are complicated because poor bone quality makes screw purchase and fixation less secure, presenting many clinical challenges to the orthopedic surgeon. Minimally invasive locked plating using an angularly stable locking compression plate has become an integral tool for achieving secure fixation in osteoporotic distal femur fractures with improved biomechanical performance. On the other hand, complications, such as implant failure and periplate fracture, have still occurred. This paper describes the principles of internal fixation in minimally invasive lateral locked plating in elderly patients with osteoporotic distal femur fractures as well as how to avoid complications.
