Minimally invasive fixation of distal femoral fractures using locked plating

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Abstract

Background:

Distal femoral fractures often resulting from high-energy trauma are complicated surgical challenges. They represent 4–7% of all femoral fractures. A variety of surgical exposures, techniques, and implants have been developed to treat these fractures. Recent attention has been directed to the benefits of minimally invasive techniques, such as soft-tissue sparing, preservation of the blood supply of bony fragments, and maintenance of fragment viability. Distal femoral locking plates allow biologic fixation techniques and allow more precise fracture reduction and angular stability.

Methods:

During the period from January 2008 to December 2010, 32 patients with distal femoral fractures were operated on using minimally invasive percutaneous reduction and biologic distal femoral locking plate fixation in the Al-Razi orthopaedic hospital in Kuwait.

Results:

After a mean follow-up period of 42 months (range, 36–48 months), 84.5% of the patients were satisfied and achieved excellent or good results according to the Schatzker and Lambert Score. Four patients achieved fair results and one had a poor result.

Conclusions:

Fixation of distal femoral fractures with a locking plate through a minimally invasive percutaneous technique is a good treatment modality for most of these fractures provided that the strict rules of minimally invasive techniques and locked plating are followed.

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