Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (22): 4036-4039.doi: 10.3969/j.issn.1673-8225.2011.22.012

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Minimally invasive percutaneous plate osteosynthesis with locking TCP versus dynamic condylar screw in the internal fixation of comminuted fracture of the distal femur

Zhang Ying1, Qiu Chui-ming2, Jia Bing-shen1, Zhou Jian-qiang1, Li Jun1, Tan Hai-tao1   

  1. 1Department of Orthopedics, Affiliated Hospital of Hainan Medical University, Haikou  570102, Hainan Province, China
    2Department of Surgery, Tunchang County Hospital, Tunchuang  571600, Hainan Province, China
  • Received:2010-12-11 Revised:2011-03-21 Online:2011-05-28 Published:2011-05-28
  • About author:Zhang Ying, Associate chief physician, Department of Orthopedics, Affiliated Hospital of Hainan Medical University, Haikou 570102, Hainan Province, China shuntian_zhang@126.com

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Abstract:

BACKGROUND: There are many therapies for comminuted fracture of the distal femur, but no uniform standard for clinicians is considered to choose appropriate therapy. 
OBJECTIVE: To compare the effects of minimally invasive percutaneous plate osteosynthesis (MIPPO) with locking TCP versus dynamic condylar screw (DCS) in the internal fixation of comminuted fracture of the distal femur.
METHODS: Thirty-seven patients with comminuted fracture of the distal femur were randomized into two groups: MIPPO with locking TCP group (n=19) and DCS group (n=18). General conditions, damages, healing time, complications and function recovery were compared and analyzed between the two groups.
RESULTS AND CONCLUSION: The patients undergoing MIPPO with locking TCP could walk earlier, recovered better and had a shorter healing time (P < 0.05). According to Karlstorm Knee Functional Evaluation Standard, the excellent and good rate in the MIPPO with locking TCP was significantly higher than that in the DCS group (P < 0.05). Locking TCP combined with MIPPO technology was better than DCS in treating comminuted fracture of the distal femur.

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