Comparison of locked plating and intramedullary nailing for periprosthetic supracondylar femur fractures after knee arthroplasty

Kilicoglu Ö. İ., Akgul T., Saglam Y., Yazicioglu O.

Acta Orthopaedica Belgica, cilt.79, sa.4, ss.417-421, 2013 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 79 Sayı: 4
  • Basım Tarihi: 2013
  • Dergi Adı: Acta Orthopaedica Belgica
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.417-421
  • Anahtar Kelimeler: knee arthroplasty, periprosthetic femur fracture, locked plate, intramedullary nailing, INVASIVE STABILIZATION SYSTEM, FEMORAL FRACTURES, FIXATION
  • İstanbul Üniversitesi Adresli: Evet

Özet

This study aimed to compare the efficacy of two treatment modalities for periprosthetic supracondylar fractures. The results of intramedullary nailing in 7 patients and locked plating in 9 patients were reviewed retrospectively. Mean follow-up was 4.3 years (range : 1 to 13 years). One patient died on the first postoperative day. Union of the fracture was achieved in the other 15 patients, after a mean time of 3.86 months : 3.9 months (range : 3 to 6 months) in the locked plate group and 3.86 months (range : 3 to 5 months) in the intramedullary nail group (p = 0.96). Mean Knee Society Score was 78 points (range : 68 to 84 points) and mean total knee range of motion was 82 degrees (range 70 degrees to 90 degrees) with no significant differences between groups. Sagittal and coronal plane measurements were similar both in the early postoperative period and at the last follow-up. The two treatment modalities had similar results with a high success rate.