Locked Plating of Supracondylar Periprosthetic Femur Fractures
Abstract Fifty periprosthetic supracondylar femur fractures above a total knee arthroplasty were reviewed. Fractures were closed Lewis and Rorabeck type II with a stable prosthesis. Twenty-nine patients (group I), were treated with locked condylar plating. Twenty-one patients (group II) were treated...
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| Veröffentlicht in: | The Journal of arthroplasty 2008-09, Vol.23 (6), p.115-120 |
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| container_title | The Journal of arthroplasty |
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| creator | Large, Thomas M., MD Kellam, James F., MD Bosse, Michael J., MD Sims, Stephen H., MD Althausen, Peter, MD Masonis, John L., MD |
| description | Abstract Fifty periprosthetic supracondylar femur fractures above a total knee arthroplasty were reviewed. Fractures were closed Lewis and Rorabeck type II with a stable prosthesis. Twenty-nine patients (group I), were treated with locked condylar plating. Twenty-one patients (group II) were treated with nonlocked plating systems or intramedullary fixation. Minimum follow-up was 1.7 years. There were 5 malunions (20%) in group I and 9 (47%) in group II ( P < .05). There were no nonunions in group I and 3 (16%) in group II. Complication rates were 12% in group I, compared to 42% in group II. Group I patients had less operative blood loss, healed in better alignment, and had greater knee motion. All 7 patients treated with a retrograde intramedullary nail developed a malunion or nonunion. Locked plating is a reliable treatment for periprosthetic supracondylar femur fractures. We experienced a lower complication, revision, malunion, and nonunion rate with locked plating versus conventional treatment options. |
| doi_str_mv | 10.1016/j.arth.2008.04.021 |
| format | Article |
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Fractures were closed Lewis and Rorabeck type II with a stable prosthesis. Twenty-nine patients (group I), were treated with locked condylar plating. Twenty-one patients (group II) were treated with nonlocked plating systems or intramedullary fixation. Minimum follow-up was 1.7 years. There were 5 malunions (20%) in group I and 9 (47%) in group II ( P < .05). There were no nonunions in group I and 3 (16%) in group II. Complication rates were 12% in group I, compared to 42% in group II. Group I patients had less operative blood loss, healed in better alignment, and had greater knee motion. All 7 patients treated with a retrograde intramedullary nail developed a malunion or nonunion. Locked plating is a reliable treatment for periprosthetic supracondylar femur fractures. We experienced a lower complication, revision, malunion, and nonunion rate with locked plating versus conventional treatment options.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2008.04.021</identifier><identifier>PMID: 18617358</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement, Knee ; Bone Nails ; Bone Plates ; Female ; Femoral Fractures - surgery ; Fracture Fixation, Internal - methods ; Fractures, Malunited ; Fractures, Ununited ; Humans ; LISS ; locked plating ; Male ; Orthopedics ; periprosthetic ; Postoperative Complications ; Reoperation ; supracondylar femur fracture</subject><ispartof>The Journal of arthroplasty, 2008-09, Vol.23 (6), p.115-120</ispartof><rights>2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-8964a0686e4121b30aa91756ff744f7a554ae442bf518ef0e7e267d4df7304333</citedby><cites>FETCH-LOGICAL-c409t-8964a0686e4121b30aa91756ff744f7a554ae442bf518ef0e7e267d4df7304333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540308004610$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18617358$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Large, Thomas M., MD</creatorcontrib><creatorcontrib>Kellam, James F., MD</creatorcontrib><creatorcontrib>Bosse, Michael J., MD</creatorcontrib><creatorcontrib>Sims, Stephen H., MD</creatorcontrib><creatorcontrib>Althausen, Peter, MD</creatorcontrib><creatorcontrib>Masonis, John L., MD</creatorcontrib><title>Locked Plating of Supracondylar Periprosthetic Femur Fractures</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Fifty periprosthetic supracondylar femur fractures above a total knee arthroplasty were reviewed. Fractures were closed Lewis and Rorabeck type II with a stable prosthesis. Twenty-nine patients (group I), were treated with locked condylar plating. Twenty-one patients (group II) were treated with nonlocked plating systems or intramedullary fixation. Minimum follow-up was 1.7 years. There were 5 malunions (20%) in group I and 9 (47%) in group II ( P < .05). There were no nonunions in group I and 3 (16%) in group II. Complication rates were 12% in group I, compared to 42% in group II. Group I patients had less operative blood loss, healed in better alignment, and had greater knee motion. All 7 patients treated with a retrograde intramedullary nail developed a malunion or nonunion. Locked plating is a reliable treatment for periprosthetic supracondylar femur fractures. We experienced a lower complication, revision, malunion, and nonunion rate with locked plating versus conventional treatment options.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Bone Nails</subject><subject>Bone Plates</subject><subject>Female</subject><subject>Femoral Fractures - surgery</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures, Malunited</subject><subject>Fractures, Ununited</subject><subject>Humans</subject><subject>LISS</subject><subject>locked plating</subject><subject>Male</subject><subject>Orthopedics</subject><subject>periprosthetic</subject><subject>Postoperative Complications</subject><subject>Reoperation</subject><subject>supracondylar femur fracture</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVFr2zAUhcXoWNNuf6APxU97s3dlXcsKjEIJS1sIrJDtWSjy1aLUsTPJLuTfTyaBwh76pJfvHI6-y9gNh4IDl992hQnDtigBVAFYQMk_sBmvRJkrBHnBZqCUyCsEccmuYtwBcF5V-IldciV5LSo1Y3er3r5Qkz23ZvDdn6x32Xo8BGP7rjm2JmTPFPwh9HHY0uBttqT9GLJlAoYxUPzMPjrTRvpyfq_Z7-WPX4vHfPXz4Wlxv8otwnzI1VyiAakkIS_5RoAxc15X0rka0dUmrTKEWG5cxRU5oJpKWTfYuFoACiGu2ddTb5ryd6Q46L2PltrWdNSPUcs5SqwEJrA8gTZtjoGcPgS_N-GoOejJmt7pyZqerGlAnayl0O25fdzsqXmLnDUl4PsJoPTHV09BR-ups9T4QHbQTe_f77_7L25b33lr2hc6Utz1Y-iSPc11LDXo9XS36WygAFByEP8AUuyR2g</recordid><startdate>20080901</startdate><enddate>20080901</enddate><creator>Large, Thomas M., MD</creator><creator>Kellam, James F., MD</creator><creator>Bosse, Michael J., MD</creator><creator>Sims, Stephen H., MD</creator><creator>Althausen, Peter, MD</creator><creator>Masonis, John L., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20080901</creationdate><title>Locked Plating of Supracondylar Periprosthetic Femur Fractures</title><author>Large, Thomas M., MD ; Kellam, James F., MD ; Bosse, Michael J., MD ; Sims, Stephen H., MD ; Althausen, Peter, MD ; Masonis, John L., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-8964a0686e4121b30aa91756ff744f7a554ae442bf518ef0e7e267d4df7304333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Bone Nails</topic><topic>Bone Plates</topic><topic>Female</topic><topic>Femoral Fractures - surgery</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures, Malunited</topic><topic>Fractures, Ununited</topic><topic>Humans</topic><topic>LISS</topic><topic>locked plating</topic><topic>Male</topic><topic>Orthopedics</topic><topic>periprosthetic</topic><topic>Postoperative Complications</topic><topic>Reoperation</topic><topic>supracondylar femur fracture</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Large, Thomas M., MD</creatorcontrib><creatorcontrib>Kellam, James F., MD</creatorcontrib><creatorcontrib>Bosse, Michael J., MD</creatorcontrib><creatorcontrib>Sims, Stephen H., MD</creatorcontrib><creatorcontrib>Althausen, Peter, MD</creatorcontrib><creatorcontrib>Masonis, John L., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Large, Thomas M., MD</au><au>Kellam, James F., MD</au><au>Bosse, Michael J., MD</au><au>Sims, Stephen H., MD</au><au>Althausen, Peter, MD</au><au>Masonis, John L., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Locked Plating of Supracondylar Periprosthetic Femur Fractures</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2008-09-01</date><risdate>2008</risdate><volume>23</volume><issue>6</issue><spage>115</spage><epage>120</epage><pages>115-120</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Fifty periprosthetic supracondylar femur fractures above a total knee arthroplasty were reviewed. Fractures were closed Lewis and Rorabeck type II with a stable prosthesis. Twenty-nine patients (group I), were treated with locked condylar plating. Twenty-one patients (group II) were treated with nonlocked plating systems or intramedullary fixation. Minimum follow-up was 1.7 years. There were 5 malunions (20%) in group I and 9 (47%) in group II ( P < .05). There were no nonunions in group I and 3 (16%) in group II. Complication rates were 12% in group I, compared to 42% in group II. Group I patients had less operative blood loss, healed in better alignment, and had greater knee motion. All 7 patients treated with a retrograde intramedullary nail developed a malunion or nonunion. Locked plating is a reliable treatment for periprosthetic supracondylar femur fractures. We experienced a lower complication, revision, malunion, and nonunion rate with locked plating versus conventional treatment options.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18617358</pmid><doi>10.1016/j.arth.2008.04.021</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Arthroplasty, Replacement, Knee Bone Nails Bone Plates Female Femoral Fractures - surgery Fracture Fixation, Internal - methods Fractures, Malunited Fractures, Ununited Humans LISS locked plating Male Orthopedics periprosthetic Postoperative Complications Reoperation supracondylar femur fracture |
| title | Locked Plating of Supracondylar Periprosthetic Femur Fractures |
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