Technical difficulties and mechanical failure of distal femoral locking compression plate (DFLCP) in management of unstable distal femoral fractures.
Unstable distal femoral fractures
distal femoral locking compression plate (DFLCP)
fixation failure
non-union
varus mal-union
Journal
International journal of burns and trauma
ISSN: 2160-2026
Titre abrégé: Int J Burns Trauma
Pays: United States
ID NLM: 101581623
Informations de publication
Date de publication:
2021
2021
Historique:
received:
29
09
2020
accepted:
18
12
2020
entrez:
7
4
2021
pubmed:
8
4
2021
medline:
8
4
2021
Statut:
epublish
Résumé
Objective of the paper is to portray the technical difficulties and mechanical failure of Distal Femoral Locking Compression Plate in the management of unstable distal femoral fractures. The primary outcome measure was defined as revision surgery due to implant failure with subsequent non-union. Secondary outcome measures were mal-union, delayed union, peri-implant fracture and infection. Functional outcome were evaluated using Schatzker & Lambert criteria. Thirty nine patients were available for final follow up. The rate of revision surgery as primary outcome measure was 7.69%. Mal-union was seen in 5.1%, delayed union in 7.69%, superficial infection in 10.25% and deep infection in 5.1% patients. All except three fractures united following index surgery. Functional outcome as per the Schatzker & Lambert Criteria was excellent in 20.5%, good in 48.7%, fair in 18% and failure in 12.8%. In sight of the findings of our study along with existing literature we propose for creating a fixation construct that is conducive for fracture healing by following principles of locking compression plating and augmenting stability by medial column reconstruction.
Types de publication
Journal Article
Langues
eng
Pagination
9-19Informations de copyright
IJBT Copyright © 2021.
Déclaration de conflit d'intérêts
None.
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