Sung-Sik Ha; Jae-Chun Sim; Ki-Do Hong; Jae-Young Kim; Kwang-Hee Park; Yoon-Ho Choi

doi:10.12671/jkfs.2009.22.4.246

Articles

Page Path: HOME > J Musculoskelet Trauma > Volume 22(4); 2009 > Article

Original Article
The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach: Sung-Sik Ha, M.D., Jae-Chun Sim, M.D., Ki-Do Hong, M.D., Jae-Young Kim, M.D., Kwang-Hee Park, M.D., Yoon-Ho Choi, M.D.; Journal of the Korean Fracture Society 2009;22(4):246-251.
DOI: https://doi.org/10.12671/jkfs.2009.22.4.246
Published online: October 30, 2009

Department of Orthopedic Surgery, Samyook Medical Center, Seoul, Korea.

Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Samyook Medical Center, 29-1, Hwigyoung-2-dong, Dongdaemoon-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-1897, cyh143@freechal.com

• Received: April 27, 2009 • Revised: July 17, 2009 • Accepted: October 6, 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

132 Views
1 Download
1 Crossref

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

Purpose
To evaluate clinical and radiological results of surgical treatment of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach.
Materials and Methods
This study reviewed the results of 9 cases of distal femur medial condyle fracture treated with lateral anatomical plate of opposite side through medial approach from December 2005 to June 2007, after a follow up of more than 12 months. There were 2 males and 7 females with a mean age of 63.1 (57~72) years. The clinical results were evaluated using the Schatzker's criteria, and the radiographic results were evaluated using the bone union time.
Results
Using the Schatzker's criteria, 7 cases of the 9 patients (78%) showed exellent results. The mean time for bone union was 13.4 (11~15) weeks. There were 3 cases of pain on full weight bearing same as previous operative state by degenerative osteoarthritis. There weren't complications as joint stiffness, infection, varus & rotational deformity, malunion, nonunion, and metal failure.
Conclusion
Plate fixation using medial approach provides the proper anatomical reduction and stronger fixation, and outcome good results.
Key words: Femur, Distal femur medial condyle fracture, Lateral anatomical plate of opposite side, Medial approach

REFERENCES

1. Borgen D, Sprague BL. Treatment of distal femoral fractures with early weight-bearing. A preliminary report. Clin Orthop Relat Res, 1975;111:156-162.
2. Butt MS, Krikler SJ, Ali MS. Displaced fractures of the distal femur in elderly patients. Operative versus non-operative treatment. J Bone Joint Surg Br, 1996;78:110-114.
3. Chiron HS, Trémoulet J, Casey P, Müller M. Fractures of the distal third of the femur treated by internal fixation. Clin Orthop Relat Res, 1974;100:160-170.
4. Giles JB, DeLee JC, Heckman JD, Keever JE. Supracondylar-intercondylar fractures of the femur treated with a supracondylar plate and lag screw. J Bone Joint Surg Am, 1982;64:864-870.Article
5. Hahn SH, Yang BK, Yi SR, Chung SW, Lee JO. Treatment of the distal femoral fracture with anatomical bone plate. J Korean Soc Fract, 2000;13:258-266.Article
6. Healy WL, Brooker AF Jr. Distal femoral fractures. Comparison of open and closed methods of treatment. Clin Orthop Relat Res, 1983;174:166-171.
7. Höntzsch D. Distal femoral fracture--Clinical possibilities. Kongressbd Dtsch Ges Chir Kongr, 2001;118:371-374.
8. Johnson KD, Hicken G. Distal femoral fractures. Orthop Clin North Am, 1987;18:115-132.Article
9. Kwon H, Kim DW, Sohn CS, et al. Metal failure after plate fixation for femur fracture. J Korean Soc Fract, 1997;10:371-378.Article
10. Mize RD. Surgical management of comlex fractures of the distal femur. Clin Orthop Relat Res, 1989;(240):77-86.
11. Moon ES, Lee KB, Jeong JW. Anatomical plate fixation for distal femur fracture. J Korean Soc Fract, 1999;12:294-300.
12. Ostermann PA, Neumann K, Ekkernkamp A, Muhr G. Long term results of unicondylar fractures of the femur. J Orthop Trauma, 1994;8:142-146.Article
13. Ostrum RF, Geel C. Indirect reduction and internal fixation of supracondylar femur fractures without bone graft. J Orthop Trauma, 1995;9:278-284.Article
14. Schatzker J. Fractures of the distal femur revisited. Clin Orthop Relat Res, 1998;347:43-56.Article
15. Schatzker J, Home G, Waddell J. The Toronto experience with the supracondylar fracture of the femur, 1966-72. Injury, 1974;6:113-128.
16. Schatzker J, Lambert DC. Supracondylar fractures of the femur. Clin Orthop Relat Res, 1979;138:77-83.Article
17. Schatzker J, Tile M. The rationale of operative fracture care. 2nd ed. Berlin: Springer-Verlg; 1996. p. 395.
18. Shewring DJ, Meggitt BF. Fractures of the distal femur treated with the AO dynamic condylar screw. J Bone Joint Surg Br, 1992;74:122-125.Article PDF
19. Siliski JM, Mahring M, Hofer HP. Supracondylar-intercondylar fractures of the femur. Treatment by internal fixation. J Bone Joint Surg Am, 1989;71:95-114.Article
20. Stewart MJ, Sisk TD, Walace SL Jr. Fractures of the distal third of the femur. J Bone Joint Surg, 1966;48:784-807.
21. Stover M. Distal femur fractures: current treatment, results and problems. Injury, 2001;32:SC3-SC13.
22. Vallier HA, Hennessey TA, Sontich JK, Patterson BM. Failure of LCP condylar plate fixation in the distal part of the femur. A report of six cases. J Bone Joint Surg Am, 2006;88:846-853.
23. Volpin G, Dowd GS, Stein H, Bentley G. Degenerative arthritis after intra-articular fractures of the knee. Long-term results. J Bone Joint Surg Br, 1990;72:634-638.
24. Yune SH, Rhee KJ, Park CH, Byun KY, Lee SY, Rho SK. Importance of maintenance medial buttress in treatment of supra-condylar and inter-condylar (T-condylar) fracture of the femur. J Korean Soc Fract, 1996;9:567-573.

Fig. 1

(A) Preoperative radiographs show posterior displacement and rotational deformity of medial condyle of 69-year-old woman with right femur medial condyle fracture after traffic accident.

(B) Immediate postoperative radiographs show the plate fixation using lateral anatomical plate of opposite side through medial approach.

(C) Postoperative 27 months radiographs show complete bone union, good by Schaztker's criteria, and 5~130° knee ROM.

Fig. 2

(A) Preoperative radiographs show posterior displacement and valgus deformity of medial condyle of 70-year-old woman with right femur medial condyle fracture after slip down.

(B) Immediate postoperative radiographs show the plate fixation using lateral anatomical plate of opposite side through medial approach.

(C) Postoperative 26 months radiographs show complete bone union, excellent by Schaztker's criteria, and 0~125° knee ROM.

Table 1

Schatzker's criteria

Table 2

Patients of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report
Se-Ang Jang, Young-Soo Byun, In-Ho Han, Dongju Shin
Journal of the Korean Fracture Society.2016; 29(3): 206. CrossRef

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach

J Korean Fract Soc. 2009;22(4):246-251. Published online October 31, 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.4.246

XML Download

Figure

We recommend

The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach

Fig. 1 (A) Preoperative radiographs show posterior displacement and rotational deformity of medial condyle of 69-year-old woman with right femur medial condyle fracture after traffic accident. (B) Immediate postoperative radiographs show the plate fixation using lateral anatomical plate of opposite side through medial approach. (C) Postoperative 27 months radiographs show complete bone union, good by Schaztker's criteria, and 5~130° knee ROM.

Fig. 2 (A) Preoperative radiographs show posterior displacement and valgus deformity of medial condyle of 70-year-old woman with right femur medial condyle fracture after slip down. (B) Immediate postoperative radiographs show the plate fixation using lateral anatomical plate of opposite side through medial approach. (C) Postoperative 26 months radiographs show complete bone union, excellent by Schaztker's criteria, and 0~125° knee ROM.

Fig. 1

Fig. 2

The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach

Table 1

Schatzker's criteria

Table 2

Patients of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach

Table 1 Schatzker's criteria

Table 2 Patients of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach