Condylar buttress plate versus fixed angle condylar blade plate versus dynamic condylar screw for supracondylar intra-articular distal femoral fractures.
Title | Condylar buttress plate versus fixed angle condylar blade plate versus dynamic condylar screw for supracondylar intra-articular distal femoral fractures. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Petsatodis, G., Chatzisymeon A., Antonarakos P., Givissis P., Papadopoulos P., & Christodoulou A. |
Journal | J Orthop Surg (Hong Kong) |
Volume | 18 |
Issue | 1 |
Pagination | 35-8 |
Date Published | 2010 Apr |
ISSN | 1022-5536 |
Keywords | Adolescent, Adult, Aged, Aged, 80 and over, Bone Plates, Bone Screws, Cohort Studies, Female, Femoral Fractures, Fracture Fixation, Internal, Humans, Intra-Articular Fractures, Knee Joint, Male, Middle Aged, Range of Motion, Articular, Recovery of Function, Retrospective Studies, Treatment Outcome, Young Adult |
Abstract | PURPOSE: To compare outcomes of 3 fixation techniques for intra-articular distal femoral fractures.METHODS: Records of 59 men and 49 women aged 16 to 80 (mean, 47) years who underwent internal fixation for 116 type-C (complete intra-articular) distal femoral fractures were retrospectively reviewed. According to the AO classification, 25 fractures were type C1 (23 closed and 2 open), 71 type C2 (69 closed and 2 open), and 20 type C3 (16 closed and 4 open). Based on implant availability at the time, all surgeries were performed by a single surgeon using a condylar buttress plate (n=38), a fixed angle (95 degrees) condylar blade plate (n=24), or a dynamic condylar screw (n=54). The mean follow-up period was 11 (range, 4-19) years. At the latest follow-up, functional outcome was classified according to Schatzker and Lambert criteria.RESULTS: Functional outcomes were excellent in 64 (55%) of the fractures, good in 37 (32%), moderate in 9 (8%), and poor in 6 (5%). Outcomes in patients treated by the dynamic condylar screw were significantly superior to those treated by the condylar buttress plate (p=0.016) or condylar blade plate (p=0.001). Good-to-excellent results were achieved in 96% vs 84% vs 71% of these patients, respectively. Complication rates were lower in the dynamic condylar screw group than the other 2 groups (pseudarthrosis, 5% vs 11% vs 25%; varus deformity, 4% vs 26% vs 25%; knee stiffness, 0% vs 5% vs 8%, respectively). No implant failure was encountered.CONCLUSION: Dynamic condylar screw fixation for distal femoral fractures achieves better functional outcomes and lower complication rates. |
Alternate Journal | J Orthop Surg (Hong Kong) |
PubMed ID | 20427831 |