Surgical Treatment of Intraarticular Fractures of Distal Femur in City Hospital
Volokitina E.A., Antoniadi Y.V., Gilev M.V.
pp. 10-16
Ural State Medical University, Yekaterinburg, Russian Federation
DOI: 10.22138/2500-0918-2016-14-2-10-16
Abstract. The analysis of surgical treatment of 23 patients with intraarticular distal femur fractures (types B and C in condition of AO/ASIF classification) with use of the open reduction and internal fixation method is carried out. Combined method of surgical strategy with making the open reduction in external circular apparatus is shown by authors of the present article. To compare the results the two groups were created: one – with use the traditional surgical technique and the second – with use combined technique. In 63.0% patients obtained excellent and good results in the second group, what doubled the same result of the first group in 2.08 times.
Keywords: intraarticular fracture, distal femur, extramedullary osteosynthesis
1. Martinet O. The epidemiology of fractures of the distal femur. O. Martinet, J. Cordey, Y. Harder. Injury. 2000. No. 31. P. 62-77;
2. Kallaev N.O. Operative treatment of intraarticular fracture of knee joint. N.O. Kallaev, V.V. Zubov, T.N. Kallaev. Journal of trauma and orthopedic of N.N. Priorov – 2006. No. 3. – P. 47-51.
3. Kushner, F.D. Surgery of knee joint. F.D. Kushner, V.N. Scott, J.R. Scudery – Moscow: Medical literature, 2014. – 288 p.
4. Hutson J.J. Treatment of comminuted intraarticular distal femur fractures with limited internal and external tensioned wire fixation. J.J. Hutson, G.A. Zych. J Orthop Trauma. 2000. No. 14. P. 405-13;
5. Ali F. Treatment of isolated complex distal femoral fractures by external fixation. F. Ali, M. Saleh. Injury. 2000. No. 31. P. 139;
6. Gilev M.V. New trends to treatment of intra articulate fractures of proximal tibial bone. M.V. Gilev, E.A. Volokitina, Yu.V. Antoniadi, D.N. Chernitsyn // Ural medical magazine. 2012. No. 6. Pp. 121–127.
7. Belenky, I.G. Current status problems of surgical treatment of patients with fractures of the distal part of the femur. I.G. Belenkiy, G.D. Sergeev. Contemporary problems of science and education. 2014. No. 4. P. 330.
8. Chelnokov, A.N. Contemporary extramedullary osteosynthesis-problems and solutions. A.N. Chelnokov, A.E. Vinogradsky, D.A. Bekreev. Traumatology and orthopaedics of Russia. 2006. No. 2 (40). P. 296-297.
9. Winogradsky, A.E. Closed extramedullary osteosynthesis with blocking in the treatment of patients with fractures of the distal part of the femur / A.E. Vinogradsky, A.I. Reutov, A.N. Chelnokov. Vestnik of Traumatology and orthopedics. N.N. Priorova. 2007. No. 3. P. 44-48.
10. Southeast Fracture Consortium. LCP Versus LISS in the Treatment of Open and Closed Distal Femur Fractures: Does it Make a Difference? J Orthop Trauma. 2016 Jun; 30(6):e212-6
11. Henderson, C.E. Locking plates for distal femur fractures: is there a problem with fracture healing? C.E. Henderson, L.L Kuhl, D.C. Fitzpatrick, J.L. Marsh. J Orthop Trauma. 2011 Feb; 25 Suppl 1:S8-14
12. Ebraheim, N.A. Periprosthetic Distal Femur Fracture after Total Knee Arthroplasty: A Systematic Review. N.A. Ebraheim, L.H. Kelley, X Liu. Orthop Surg. 2015 Nov; 7(4):297-305.
13.
Authors
Volokitina Elena A.
MD, Professor, Department of Traumatology and Orthopedics FPK and PP
Antoniadi Yuri V.
Ph.D., Associate Professor, Department of Traumatology and Orthopedics FPK and PP
Gilev Mikhail V.
Assistant of the Department of Traumatology and Orthopedics FPK and PP
Ural State Medical University
Russian Federation, 620028, Yekaterinburg, Repin st., 3
Received – 12.04.2016
For citation:
Volokitina E.A., Antoniadi Y.V., Gilev M.V. Surgical Treatment of intraarticular fractures of distal femur in city hospital [operativnoe lechenie vnutrisustavnykh perelomov distal’nogo otdela bedrennoyi kosti v usloviyakh gorodskogo khirurgicheskogo statsionara] Vestnik uralskoi meditsinskoi akademicheskoi nauki – Vestn. Ural. Med. Akad. Nauki. 2016, no. 2, pp. 10–16. DOI: 10.22138/2500-0918-2016-14-2-10-16 [In Russ.]