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Musculoskelet Surg ; 103(2): 149-153, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-29968233

RESUMEN

PURPOSE: Periarticular fractures around the knee joint are treated traditionally by locking plates which provide excellent stability but suppress callus formation. Far cortical locking (FCL) screws allow axial motion and enhance uniform callus formation. Our study aims to evaluate the outcomes of FCL screws in traditional locking plate in periarticular fractures of the knee. METHODS: Thirty patients with periarticular fractures of the knee joint were operated with locking plate using FCL screws. All patients were evaluated clinically and radiographically using X-rays at 6, 12, 24 weeks, 1 year and with CT scan at 12-weeks follow-up. RESULTS: The average time for complete union was 20 weeks in tibial fractures and 24 weeks in femur fractures. Average time to full weight bearing ambulation was 4.8 ± 0.93 weeks. One patient had delayed union in which union was complete after 9 months. CONCLUSION: This study shows that FCL screws in locking plates allow uniform callus formation and fracture union with minimal complication rates.


Asunto(s)
Placas Óseas , Tornillos Óseos , Fracturas del Fémur/cirugía , Fijación Interna de Fracturas/instrumentación , Fracturas de la Tibia/cirugía , Adolescente , Adulto , Anciano , Femenino , Fracturas del Fémur/diagnóstico por imagen , Estudios de Seguimiento , Fijación Interna de Fracturas/métodos , Curación de Fractura , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Rango del Movimiento Articular , Fracturas de la Tibia/diagnóstico por imagen , Adulto Joven
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