A prospective study of functional outcome of coronal plane fracture of femoral condyle treated with cannulated cancellous screws

Dr. A Manoharan, Dr. T Kalaiyarasan, Dr. Nedunkilli V
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Abstract

Background: Lower limb fractures constitute one third of all fractures. The most common fractures involves around the shaft of femur. Distal femur fractures constitute 3-6% of all femur fractures and 1% of all orthopaedic trauma [1] . Distal femur fractures can be either supracondylar or condylar type. Condylar type involves in two planes, sagittal & coronal planes (Hoffa Fracture). The incidence of Hoffa fracture is 8.7 to 13% of all distal femur fractures [2] . Material and Methods: Eighteen cases of Hoffa’s fracture fixed with cancellous screws between from June 2017 – June 2019 at Stanley medical college hospital, Chennai. Results: The mean follow up period was 24 months. The results were analysed using knee society score. The outcome was excellent in 65%, good in 15%, fair in 10% and poor in 10 % by Knee society Conclusion : we conclude that the early anatomical reduction and rigid fixation with screws provide best results with minimal complications.
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空心松质螺钉治疗股骨髁冠状面骨折功能预后的前瞻性研究
背景:下肢骨折占所有骨折的三分之一。最常见的骨折发生在股骨骨干周围。股骨远端骨折占所有股骨骨折的3-6%,占所有骨科创伤的1%。股骨远端骨折可为髁上型或髁上型。髁型包括矢状面和冠状面两个平面(Hoffa骨折)。Hoffa骨折的发生率占股骨远端骨折的8.7% ~ 13%。材料与方法:2017年6月- 2019年6月在金奈斯坦利医学院医院用松质螺钉固定Hoffa骨折18例。结果:平均随访时间24个月。采用膝关节社会评分法对结果进行分析。膝关节协会的结果显示,65%的患者预后良好,15%的患者预后良好,10%的患者预后一般,10%的患者预后较差。结论:我们的结论是,早期解剖复位和螺钉刚性固定提供了最佳效果,并发症最少。
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