Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate
Abstract Introduction We evaluated the radiologic and clinical outcomes of a lateral incision single plate with and a single-incision double plating in elderly patients with osteoporotic distal femoral fractures. Materials and methods We performed a retrospective study of 82 cases of distal femoral...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-022-02944-6 |
| _version_ | 1818036226802843648 |
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| author | Dae Jin Nam Min Seok Kim Tae Ho Kim Min Woo Kim Suc Hyun Kweon |
| author_facet | Dae Jin Nam Min Seok Kim Tae Ho Kim Min Woo Kim Suc Hyun Kweon |
| author_sort | Dae Jin Nam |
| collection | DOAJ |
| description | Abstract Introduction We evaluated the radiologic and clinical outcomes of a lateral incision single plate with and a single-incision double plating in elderly patients with osteoporotic distal femoral fractures. Materials and methods We performed a retrospective study of 82 cases of distal femoral fractures from May 2004 to June 2018. Group A consisted of 42 patients who underwent single-plate fixation. Group B consisted of 40 patients who underwent double-plate fixation. The mean patient age was 77 years (67–87 years) and 76 years (64–86 years) in groups A and B, respectively. All patients were evaluated for procedure duration, time to union, range of knee motion, Lysholm knee score, and presence of complications. Results The average procedure time was 81 min (66–92 min) and 110 min (95–120 min) in groups A and B, respectively (p = 0.33). One case in group B required bone grafting after 5 months. The average time to union was 14 weeks (9–19 weeks) and 12.2 weeks (8–19 weeks) (p = 0.63), and the mean range of knee motion was 105° (90–125°) and 110.7° (90°–130°) (p = 0.37) in groups A and B, respectively. There was no significant statistical difference between the two groups in the Lysholm knee score (p = 0.44) and knee society score (p = 0.53). Conclusion The clinical and radiological outcomes were similar in the 2 groups. In elderly patients, double plate fixation for distal femoral fractures is an useful method for several advantages such as adequate exposure, easy manipulation, anatomical reduction and stable fixation. |
| first_indexed | 2024-12-10T07:07:35Z |
| format | Article |
| id | doaj.art-92058ef96da741ff96c746ed4664ecac |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-12-10T07:07:35Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-92058ef96da741ff96c746ed4664ecac2022-12-22T01:58:09ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-01-011711810.1186/s13018-022-02944-6Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plateDae Jin Nam0Min Seok Kim1Tae Ho Kim2Min Woo Kim3Suc Hyun Kweon4Department of Orthopedic Surgery, School of Medicine, Wonkwang UniversityDepartment of Orthopedic Surgery, School of Medicine, Wonkwang UniversityDepartment of Orthopedic Surgery, Presbyterian Medical HospitalDepartment of Orthopedic Surgery, Presbyterian Medical HospitalDepartment of Orthopedic Surgery, School of Medicine, Wonkwang UniversityAbstract Introduction We evaluated the radiologic and clinical outcomes of a lateral incision single plate with and a single-incision double plating in elderly patients with osteoporotic distal femoral fractures. Materials and methods We performed a retrospective study of 82 cases of distal femoral fractures from May 2004 to June 2018. Group A consisted of 42 patients who underwent single-plate fixation. Group B consisted of 40 patients who underwent double-plate fixation. The mean patient age was 77 years (67–87 years) and 76 years (64–86 years) in groups A and B, respectively. All patients were evaluated for procedure duration, time to union, range of knee motion, Lysholm knee score, and presence of complications. Results The average procedure time was 81 min (66–92 min) and 110 min (95–120 min) in groups A and B, respectively (p = 0.33). One case in group B required bone grafting after 5 months. The average time to union was 14 weeks (9–19 weeks) and 12.2 weeks (8–19 weeks) (p = 0.63), and the mean range of knee motion was 105° (90–125°) and 110.7° (90°–130°) (p = 0.37) in groups A and B, respectively. There was no significant statistical difference between the two groups in the Lysholm knee score (p = 0.44) and knee society score (p = 0.53). Conclusion The clinical and radiological outcomes were similar in the 2 groups. In elderly patients, double plate fixation for distal femoral fractures is an useful method for several advantages such as adequate exposure, easy manipulation, anatomical reduction and stable fixation.https://doi.org/10.1186/s13018-022-02944-6FemurDistal femoral fractureOsteoporotic fractureDouble platingLateral parapatellar approach |
| spellingShingle | Dae Jin Nam Min Seok Kim Tae Ho Kim Min Woo Kim Suc Hyun Kweon Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate Journal of Orthopaedic Surgery and Research Femur Distal femoral fracture Osteoporotic fracture Double plating Lateral parapatellar approach |
| title | Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate |
| title_full | Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate |
| title_fullStr | Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate |
| title_full_unstemmed | Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate |
| title_short | Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate |
| title_sort | fractures of the distal femur in elderly patients retrospective analysis of a case series treated with single or double plate |
| topic | Femur Distal femoral fracture Osteoporotic fracture Double plating Lateral parapatellar approach |
| url | https://doi.org/10.1186/s13018-022-02944-6 |
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