Journal of Research in Orthopedic Science
1
J. Res. Orthop. Sci.
Medical Sciences
http://jros.iums.ac.ir
1
admin
2676-7031
2676-7031
8
7
14
8888
13
en
jalali
1399
11
1
gregorian
2021
2
1
8
1
online
1
fulltext
en
Evaluation of the Outcome of Different Surgical Techniques in the Treatment of Distal Femur Intra-articular Fractures: A Retrospective Study
جراحی زانو
Knee surgery
پژوهشی
Research Article
<div style="text-align: justify;"><strong>Background:</strong> A preferred surgical approach to distal femur intra-articular fractures is still controversial. <br>
<strong>Objectives:</strong> In the current study, we assessed the outcome and complications of three different surgical techniques, including screw fixation, Retrograde Intramedullary Nailing (RIN), and Locking Compression Plate (LCP). <br>
<strong>Methods:</strong> A total of 63 patients with distal femur intra-articular fractures were included in this retrospective study. AO/OTA fracture and dislocation classification was used to categorize patients. Type B fractures were treated with screw fixation and type C fractures were treated using LCP and RIN. Outcome measures, including the knee range of motion (ROM) and pain level, were <br>
<strong>Results: </strong>The mean±SD age of patients was 36.7±15.7 years. The fracture types B and C were detected in 22 (32.4%) and 46 (67.6%) patients. The mean follow-up period was 27.2±15.9 months. Mild knee pain was the only complication of screw fixation that was observed in 21% of patients. LCP was associated with some complications, including pain (19.4%), infection (9.7%), limited ROM (47.4%), malunion (47.4%), and nonunion (6.5%). RIN was also associated with several complications, including pain (44.4%), infection (11.1%), limited ROM (33.3%), and malunion (41.2%). A comparison of the outcome in matched fracture types of LCP and RIN groups revealed no superiority of each technique. <br>
<strong>Conclusion:</strong> Screw fixation alone results in a satisfactory outcome in the treatment of type B distal femur intra-articular fractures. LCP and RIN are associated with a variety of complications with no superiority over each other. </div>
Distal femur, Intra-Articular, Fracture, Intramedullary nail, Locked plate, Compression screws
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8
http://jros.iums.ac.ir/browse.php?a_code=A-10-414-1&slc_lang=en&sid=1
Abolfazl
Bagherifard
10031947532846004242
10031947532846004242
Yes
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Shoeib
Majdi
10031947532846004243
10031947532846004243
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Paniz
Motaghi
10031947532846004244
10031947532846004244
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mohamad Reza
Heidarikhoo
10031947532846004245
10031947532846004245
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Katya
Khayyami
10031947532846004246
10031947532846004246
No
Department of Radiology, Hazrat Rasul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Shahab
Aldin Sattari
10031947532846004247
10031947532846004247
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mehdi
Mohammadpour
10031947532846004248
10031947532846004248
No
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.