Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview)
Introduction Distal femoral fractures are a challenging medical and social problem as they may occur at any age. All the available osteosynthesis types can be used to treat such injuries. However, despite the disadvantages, fixation with plates has been the most common and developed. Aim of study w...
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| Format: | Article |
| Language: | English |
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2021-02-01
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| Series: | Гений oртопедии |
| Subjects: |
| _version_ | 1819051042453585920 |
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| author | Nikita I. Cherevatyy Leonid N. Solomin |
| author_facet | Nikita I. Cherevatyy Leonid N. Solomin |
| author_sort | Nikita I. Cherevatyy |
| collection | DOAJ |
| description | Introduction Distal femoral fractures are a challenging medical and social problem as they may occur at any age. All the available osteosynthesis types
can be used to treat such injuries. However, despite the disadvantages, fixation with plates has been the most common and developed. Aim of study was
to analyze the world literature and summarize the information regarding the use of plate fixation in the treatment of distal femoral fractures, identifying
unresolved issues and promising directions. Materials and methods The following sources were used for collecting the information: Pubmed and E-library
databases, publications of Elsevier, Springer and other publishing companies, materials of the Russian National Library, AO Surgery Reference on line.
Results A review of global literature demonstrated that a minimally invasive approach which allows for bone fragment blood flow and stable fixation with
a locking compression plate (LCP) are the most important factors that can improve the quality of treatment with plating. Discussion Plate fixation is still
the most preferred method in the treatment of distal femoral fractures. In most severe injuries, accompanied by the medial support loss (33–A3, 33–C2
and 33–C3 fracture types according to AO classification), the use of not only the lateral but also the medial plate to achieve stable osteosynthesis has been
discussed. Conclusion Further advance of the technology for treating these injures may be associated with designing an “anatomical” medial plate and a
method for its minimally invasive implantation. Development of a lateral plate which could provide the stability similar to bilateral osteosynthesis seems
even more prospective. Undoubtedly, such a plate would be useful in limb reconstruction surgery as well, for changing the external fixation to internal one
after deformity correction and limb lengthening. |
| first_indexed | 2024-12-21T11:57:39Z |
| format | Article |
| id | doaj.art-a4a9d046499d4d8db307ef964935564a |
| institution | Directory Open Access Journal |
| issn | 1028-4427 2542-131X |
| language | English |
| last_indexed | 2024-12-21T11:57:39Z |
| publishDate | 2021-02-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj.art-a4a9d046499d4d8db307ef964935564a2022-12-21T19:04:53ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2021-02-0127110411110.18019/1028-4427-2021-27-1-104-111Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview)Nikita I. Cherevatyy0https://orcid.org/0000-0001-5180-0807Leonid N. Solomin1https://orcid.org/0000-0003-3705-3280Gatchina Clinical Interdistrict Hospital, Gatchina, Russian FederationVreden National Medical Research Center of Traumatology and Orthopedics, Saint Petersburg, Russian Federation, Saint-Petersburg State University, Saint Petersburg, Russian FederationIntroduction Distal femoral fractures are a challenging medical and social problem as they may occur at any age. All the available osteosynthesis types can be used to treat such injuries. However, despite the disadvantages, fixation with plates has been the most common and developed. Aim of study was to analyze the world literature and summarize the information regarding the use of plate fixation in the treatment of distal femoral fractures, identifying unresolved issues and promising directions. Materials and methods The following sources were used for collecting the information: Pubmed and E-library databases, publications of Elsevier, Springer and other publishing companies, materials of the Russian National Library, AO Surgery Reference on line. Results A review of global literature demonstrated that a minimally invasive approach which allows for bone fragment blood flow and stable fixation with a locking compression plate (LCP) are the most important factors that can improve the quality of treatment with plating. Discussion Plate fixation is still the most preferred method in the treatment of distal femoral fractures. In most severe injuries, accompanied by the medial support loss (33–A3, 33–C2 and 33–C3 fracture types according to AO classification), the use of not only the lateral but also the medial plate to achieve stable osteosynthesis has been discussed. Conclusion Further advance of the technology for treating these injures may be associated with designing an “anatomical” medial plate and a method for its minimally invasive implantation. Development of a lateral plate which could provide the stability similar to bilateral osteosynthesis seems even more prospective. Undoubtedly, such a plate would be useful in limb reconstruction surgery as well, for changing the external fixation to internal one after deformity correction and limb lengthening.distal femoral fracturesunstable fracturesplate fixationmedial and lateral plate fixationbilateral plate fixation |
| spellingShingle | Nikita I. Cherevatyy Leonid N. Solomin Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview) Гений oртопедии distal femoral fractures unstable fractures plate fixation medial and lateral plate fixation bilateral plate fixation |
| title | Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview) |
| title_full | Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview) |
| title_fullStr | Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview) |
| title_full_unstemmed | Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview) |
| title_short | Plate fixation in the treatment of adults with distal femoral fractures: history, present time, and prospects (world literature overview) |
| title_sort | plate fixation in the treatment of adults with distal femoral fractures history present time and prospects world literature overview |
| topic | distal femoral fractures unstable fractures plate fixation medial and lateral plate fixation bilateral plate fixation |
| work_keys_str_mv | AT nikitaicherevatyy platefixationinthetreatmentofadultswithdistalfemoralfractureshistorypresenttimeandprospectsworldliteratureoverview AT leonidnsolomin platefixationinthetreatmentofadultswithdistalfemoralfractureshistorypresenttimeandprospectsworldliteratureoverview |