Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (22): 4053-4056.doi: 10.3969/j.issn.1673-8225.2012.22.015

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Iatrogenic factors for knee extensor device adhesion after middle and lower femoral fracture repair 

Li Peng1, Zhang Chao-chun2   

  1. 1Department of Orthopedics and Traumatology, Fujian University of Traditional Chinese Medicine, Fuzhou  350108, Fujian Province, China; 2First Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Area Command of Chinese PLA, Fuzhou  350025, Fujian Province, China
  • Received:2011-10-14 Revised:2011-11-12 Online:2012-05-27 Published:2012-05-27
  • Contact: Zhang Chao-chun, Associate professor, Master’s supervisor, Associate chief physician, First Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Area Command of Chinese PLA, Fuzhou 350025, Fujian Province, China zchaochun@163.com
  • About author:Li Peng, Department of Orthopedics and Traumatology, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, Fujian Province, China 281478168@qq.com

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Abstract:

BACKGROUND: Knee extensor device adhesion is one for the common postoperative complications in the femoral lower-middle section fracture.
OBJECTIVE: To investigate the iatrogenic factors for knee extensor device adhesion after the femoral lower-middle section fracture repair.
METHODS: A total of 90 cases that operated on the femoral lower-middle section fracture with internal fixation and diagnosed as knee extensor device adhesion were selected. Effect of different surgical approaches, internal fixation methods, postoperative gesso externally fixation time and postoperative functional exercise on the occurrence of knee extensor device adhesion were statistically analyzed.
RESULTS AND CONCLUSION: All the 90 cases were followed up for an average time of 18.7 months. Surgical approaches, internal fixation methods, postoperative gesso external fixation time and postoperative functional exercise were the iatrogenic factors which had statistically significant correlation with the knee extensor device adhesion (P < 0.05). The treatment of the femoral lower-middle section fracture with open reduction and internal fixation through posterolateral surgical approach, fixed using intramedullary nail, postoperative gesso external fixation time were shortened and the incidence of knee extensor device adhesion can be reduced by using continuous passive motion functional exercise.

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