Effects of femoral condylar buttress plate on repair of distal femoral fractures

doi:10.3969/j.issn.2095-4344.2014.26.013

Abstract

Abstract:

BACKGROUND: Distal femoral fractures are complex and unstable, and combined with severe injury to local soft tissue and microcirculation. Fracture healing is difficult. Condylar buttress plate is commonly used in the clinic. However, the factors affecting its prognosis are various, and the reports are diverse.
OBJECTIVE: To investigate the factors affecting clinical efficacy of femoral condylar buttress plate for distal femoral fractures.
METHODS: Clinical data of 84 patients with distal femoral fractures undergoing surgical treatment with femoral condylar buttress plate were retrospectively analyzed. Possible influential factors were screened by univariate analysis and logistic regression analysis.
RESULTS AND CONCLUSION: Of the 84 patients, 63 cases (75%) rated as excellent by Neer scores. Univariate analysis of variance showed significant differences in age, fracture category, type of injury, timing of surgery, quality of reduction and CPM exercise among groups (P < 0.05). Logistic regression analysis showed that older patients had poorer therapeutic effects (OR=0.797). Patients with satisfactory reduction, type fracture and CPM exercise had good therapeutic effects (OR=2.275, 1.756, 2.885, respectively). Results exhibited that satisfactory reduction, fitting joints, and early CPM exercises could effectively contribute to functional recovery of knee joint during implantation of condylar buttress plate in patients with distal femoral fractures. For patients with type C fracture, double plates can be used to strengthen fixation and to elevate therapeutic effects.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: femoral fractures, bone plates, internal fixators, treatment outcome

CLC Number:

R318

Wang Xiu-min . Effects of femoral condylar buttress plate on repair of distal femoral fractures[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(26): 4168-4172.

Figures/Tables 3

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