Locking compression plate in distal intra-articular femoral fractures: The swashbuckler's approach

Obinna Obiegbu, C. Ndukwu
{"title":"Locking compression plate in distal intra-articular femoral fractures: The swashbuckler's approach","authors":"Obinna Obiegbu, C. Ndukwu","doi":"10.4103/njss.njss_4_19","DOIUrl":null,"url":null,"abstract":"Background: Distal femoral intra-articular fractures present a serious surgical challenge to an orthopedic surgeon. These fractures are usually complex and are difficult to treat, and the operative treatment is usually recommended. Problems encountered in the fixation of these fractures include poor exposure of the articular surface, loss of fixation, and joint incongruence. Materials and Methods: This was a prospective review of all patients treated with distal femoral locking plates (including patients presenting with nonunion) between January 2017 and January 2018 using the Swashbuckler's approach. Fractures were categorized using the AO/OTA classification. Patients with AO type A fractures were excluded from this study. Results: Six patients (5 females and 1 male) were recruited into this study. The mean age of the patients was 43.2 years (age range of 31–63 years). Mechanism of injury was road traffic accident in 83.3% of cases. The mean time for radiological union was 12 weeks, and all (100%) patients achieved union without any further intervention. Conclusion: The use of the Swashbuckler's approach for distal intra-articular fractures improves exposure of the articular surface and aids reduction and proper application of the locking distal femoral plate. High union rates can usually be achieved with these implants.","PeriodicalId":90935,"journal":{"name":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","volume":"28 1","pages":"23 - 25"},"PeriodicalIF":0.0000,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/njss.njss_4_19","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Distal femoral intra-articular fractures present a serious surgical challenge to an orthopedic surgeon. These fractures are usually complex and are difficult to treat, and the operative treatment is usually recommended. Problems encountered in the fixation of these fractures include poor exposure of the articular surface, loss of fixation, and joint incongruence. Materials and Methods: This was a prospective review of all patients treated with distal femoral locking plates (including patients presenting with nonunion) between January 2017 and January 2018 using the Swashbuckler's approach. Fractures were categorized using the AO/OTA classification. Patients with AO type A fractures were excluded from this study. Results: Six patients (5 females and 1 male) were recruited into this study. The mean age of the patients was 43.2 years (age range of 31–63 years). Mechanism of injury was road traffic accident in 83.3% of cases. The mean time for radiological union was 12 weeks, and all (100%) patients achieved union without any further intervention. Conclusion: The use of the Swashbuckler's approach for distal intra-articular fractures improves exposure of the articular surface and aids reduction and proper application of the locking distal femoral plate. High union rates can usually be achieved with these implants.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
锁定加压钢板治疗股骨远端关节内骨折:Swasbuckler入路
背景:股骨远端关节内骨折对骨科医生来说是一个严重的手术挑战。这些骨折通常复杂且难以治疗,通常推荐手术治疗。在固定这些骨折时遇到的问题包括关节面暴露不良、固定物丢失和关节不一致。材料和方法:这是一项前瞻性综述,纳入了2017年1月至2018年1月期间使用Swashbuckler入路接受股骨远端锁定钢板治疗的所有患者(包括出现骨不连的患者)。采用AO/OTA分类对骨折进行分类。AO A型骨折患者排除在本研究之外。结果:6例患者(女5例,男1例)被纳入本研究。患者平均年龄43.2岁(年龄范围31 ~ 63岁)。83.3%的病例损伤机制为道路交通事故。放射学愈合的平均时间为12周,所有(100%)患者在没有进一步干预的情况下实现了愈合。结论:采用Swashbuckler入路治疗远端关节内骨折可改善关节面暴露,有助于复位和正确应用锁定股骨远端钢板。这些植入物通常可以达到很高的愈合率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Catheter associated urinary tract infection offending pathogens, antimicrobial sensitivity, and complications Early postoperative wound infections in hemiarthroplasties in South-South, Nigeria: A multicenter-based study Unoperated tetralogy of fallot: A natural survivor who refused for surgery at the age of 42 years – Was it ever too late to operate? Long loop vas – A rare entity: Case report and review of literature Parosteal osteosarcoma of the maxilla: A case report and review of the literature
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1