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Results in treatment of distal femur fractures using polyaxial locking plate.
Pascarella, R; Bettuzzi, C; Bosco, G; Leonetti, D; Dessì, S; Forte, P; Amendola, L.
Afiliación
  • Pascarella R; Department of Orthopaedics and Traumatology, Maggiore Hospital, Bologna, Italy.
Strategies Trauma Limb Reconstr ; 9(1): 13-8, 2014 Apr.
Article en En | MEDLINE | ID: mdl-24362757
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.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Strategies Trauma Limb Reconstr Año: 2014 Tipo del documento: Article País de afiliación: Italia Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Strategies Trauma Limb Reconstr Año: 2014 Tipo del documento: Article País de afiliación: Italia Pais de publicación: India