Surgical Treatment of Distal Femur Fractures in Patients with Concomitant and Multiple Injury

Abstract


On the base of experience in treatment of 114 patients with concomitant and multiple injury (1996-2003) the indications, terms and tactics of operative intervention in complicated comminuted fractures of distal femur were determined. During resuscitation period in open fractures primary debridment and stabilization with external fixation devices was performed. In closed fractures immobilization by skeletal traction; in movement irritation - by external fixation device was used. At 10-21 day after trauma deep osteosynthesis with fixatives (angular plate - 51 fractures, condylar plate - 30 fractures, DCS - 6 fractures, DCP - 18 fractures) was carried out. In presence of other fractures of ipsilateral and contralateral limb the modem fixatives (DFN - 4 cases, UFN - 3 cases) were used. Application of low invasive technique allowed to perform the osteosynthesis of all fractures simultaneously. Long term results were evaluated in 53 patients (59 distal femurfractures) atfollow up 1-6 years. Excellent results were achieved in 30 (50,8%), good - in 14 (23,7%), satisfactory - in 7(11,9%) and unsatisfactory - in 8 (13,6%) cases.

References

  1. Багиров Б.А. Лечение больных с внутри- и околосуставными переломами длинных трубчатых костей нижних конечностей, профилактика деформирующего артроза: Автореф. дис. ... канд. мед. наук. - М., 1993.
  2. Волков М.В., Оганесян О.В. Восстановление формы и функции суставов и костей. - М., 1986.
  3. Йотов А. и др. //Спешна медицина (София). - 1993. N 1. - С. 15-18.
  4. Butler M.S. et al. //J. Bone Jt Surg. - 1991. - Vol. 7ЗА. P. 183-190.
  5. Cherkez-Zade D., Monesi M., Causero A., Marcolini M. //Вестн. травматол. ортопед. - 2003. - N 3. - С. 36-42.
  6. Helfet D., Browner B.D. et al. Traumatologia dell'ap-parato muscolo-schelettrico. - Verduc, 1994. - Part 4. P. 1723-1765.
  7. Kolmert L., Wulff K. //Acta Orthop. Scand. - 1982. - Vol. 53. - P. 957-960.
  8. Laith M., Jazrawi M., Frederick J. et al. //J. Trauma. - 2000. - Vol. - P. 87-91.
  9. Leung K.S. et al. //J. Bone Jt Surg. - 1991. - Vol. 73A. P. 332-340.
  10. Merchan E.C.R. et al. //J. Trauma. - 1992. -Vol. 32. - P. 174-180.
  11. Moore T.J., Watson Т., Green S.A. et al. //Ibid. - 1987. Vol. 27, N 4. - P. 402-406.
  12. Sanders R. et al. //J. Ortop. Trauma. - 1989. - N 3. - P. 214-220.
  13. Scandelmaier P., Blaunt M., Krettek K. //Orthop. Trauma. - 2001. - N 3. - P. 166-184.
  14. Schatzker J., Tile M. The rationale of operative fracture care. - Berlin, 1987.
  15. Tscheme H. et al. //Manual of internal fixation /Eds. M.E. Muller, M. Allgower, H. Willenegger. - 3rd ed. - Berlin, 1991.
  16. Wiss D.A. //Fractures /Eds. C.A. Rockwood, D.P. Green, R.W. Bucholz. - 3rd ed. - Philadelphia, 1991. - Vol. 2.

Statistics

Views

Abstract - 19

Cited-By


Article Metrics

Metrics Loading ...

Refbacks

  • There are currently no refbacks.

Copyright (c) 2004 Sokolov V.A., Byalik E.I., Takiev A.T., Boyarshinova O.I., Sokolov V.A., Byalik E.I., Takiev A.T., Boyarshinova O.I.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies