STUDY OF THE RESULTS OF BIOLOGICAL PLATE OSTEOSYNTHESIS IN COMMINUTED FEMORAL AND TIBIAL FRACTURES
Mahmoud Kamal Sultan;
Abstract
The arm of this work was to study the results of treatment of comminuted femoral fractures by biological plate osteosynthesis. Sixteen patients with 16 comminuted femoral fractures were treated by
biological plate osteosyntheiss in Orthopaedic Department, Faculty of
Medicine, Alexandria University from january 2001 to february 2002.
Males were affected more than females with a ratio of 4:1, the age of patients ranged from 16 to 58 years with an average of34.5 years. Road traffic accidents were the most common cause of injury. There were 3 cases (19%) with open fracture ofthe femur, one of them was grade II. Five cases (32%) were associated with skeletal injuries.
The technique of biological plate osteosyntesis which was used in this study included preplaning, indirect reduction of the comminuted fracture by traction on a fracture table, limited approach to the femur • with preservation of the surrounding soft tissues and bypassing the fracture site by the fixation device. During this study, a minimally invasive technique was used for biological plate osteosynthesis using 2 separate small incisions distal and proximal to the fracture site without any surgical incision over the site of commination.
The average time of partial weight bearing was about 12 weeks while
the average time of full weight bearing was 18 weeks after fracture consolidation.
The results of treatment were assessed by modified Neer's score and the
overall results were satisfactory in 14 cases (75%) and unsatisfactory in
4 cases (25%). The results were significantly better in the younger age groups, closed fractures and fractures treated after a short preoperative period.
biological plate osteosyntheiss in Orthopaedic Department, Faculty of
Medicine, Alexandria University from january 2001 to february 2002.
Males were affected more than females with a ratio of 4:1, the age of patients ranged from 16 to 58 years with an average of34.5 years. Road traffic accidents were the most common cause of injury. There were 3 cases (19%) with open fracture ofthe femur, one of them was grade II. Five cases (32%) were associated with skeletal injuries.
The technique of biological plate osteosyntesis which was used in this study included preplaning, indirect reduction of the comminuted fracture by traction on a fracture table, limited approach to the femur • with preservation of the surrounding soft tissues and bypassing the fracture site by the fixation device. During this study, a minimally invasive technique was used for biological plate osteosynthesis using 2 separate small incisions distal and proximal to the fracture site without any surgical incision over the site of commination.
The average time of partial weight bearing was about 12 weeks while
the average time of full weight bearing was 18 weeks after fracture consolidation.
The results of treatment were assessed by modified Neer's score and the
overall results were satisfactory in 14 cases (75%) and unsatisfactory in
4 cases (25%). The results were significantly better in the younger age groups, closed fractures and fractures treated after a short preoperative period.
Other data
| Title | STUDY OF THE RESULTS OF BIOLOGICAL PLATE OSTEOSYNTHESIS IN COMMINUTED FEMORAL AND TIBIAL FRACTURES | Other Titles | دراسة نتائج التثبيت الداخلى البيولوجى باستخدام الشريحة فى علاج كسور الفخذ والساق المفتتة | Authors | Mahmoud Kamal Sultan | Issue Date | 2002 |
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