Comparison of outcomes of supracondylar femur fractures treated with locking compression plate vs supracondylar nail
Keywords:
Supracondylar femur fractures, LCP, SCN, Schatzker and Lambert criteria
Abstract
Objective: To compare the outcomes of supracondylar femur (SC) fractures treated with locking compression plate (LCP) with supracondylar nail (SCN).
Methods: Analysis of 90 cases was done out of which 45 were treated with supracondylar nail and 45 with LCP.
Results: Results were graded according to Schatzker and Lambert criteria. In LCP group 28 (62.22%) had excellent, 12 (26.66%) had good, 2 (4.44%) had Fair and 3 (6.66%) had poor results while in SCN group 22 had excellent (48.88%), 9 had good (20%), 6 had fair (13.33%) and 8 had poor (17.77%) results.
Conclusion: Locking condylar plate group had the best functional result followed by SCN group according to Schatzker and Lambert criteria.
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References
1. Kolmert L, Wulff K. Epidemiology and treatment of distal femoral fractures in adults. Acta Orthop Scand. 1982 Dec;53 (6):957-62. [PubMed]
2. Martinet O, Cordey J, Harder Y, Maier A, Bühler M, Barraud GE. The epidemiology of fractures of the distal femur. Injury. 2000 Sep;31 Suppl 3:C62-3. [PubMed]
3. Arneson TJ, Melton LJ 3rd, Lewallen DG, O'Fallon WM. Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965-1984. ClinOrthopRelat Res. 1988 Sep;(234):188-94. [PubMed]
4. Kretttek C, Schandelmeier P, Tscherne H. Distal femoral fractures. Unfallchirurg. 1996; 90:2. [PubMed]
5. Albert MJ.SupracondylarFractures of the Femur. J Am AcadOrthop Surg.1997 May;5(3):163-171. [PubMed]
6. Ruedi T, Murphy WM (2000) AO Principles of Fracture Management. Vol. 1. Thieme: Stuttgart-New York. [PubMed]
7. Schatzker J, Lambert DC. Supracondylar fractures of the femur. ClinOrthopRelat Res. 1979 Jan-Feb;(138):77-83.
8. Smith WR, Ziran BH, Anglen JO, Stahel PF.Lockingplates: tips and tricks.J Bone Joint Surg Am.2007 Oct;89(10):2298-307. [PubMed]
9. Zlowodzki M, Williamson S, Cole PA, Zardiackas LD, Kregor PJ.Biomechanicalevaluation of the lessinvasivestabilization system, angledbladeplate, and retrogradeintramedullarynail for the internal fixation of distalfemur fractures. J Orthop Trauma. 2004 Sep;18(8):494-502. [PubMed]
10. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS) and HSS—development of a self-administered outcome measure Orthop Sports Phys Ther 1998;2888-96.
11. Zlowodzki M, Bhandari M, Marek DJ, Cole PA, Kregor PJ. Operativetreatment of acutedistalfemur fractures: systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma. 2006 May;20 (5):366-71. [PubMed]
12. Carmack DB, Berton RM, Kingston C, Zmurko M, Watson JT, Richardson M. Identification of the optimal intercondylar starting point for retrograde femoral nailing: an anatomic study. J Trauma. 2003 Oct;55(4):692-5.
13. Gellman RE, Paiement GD, Green HD, Coughlin RR. Treatment of supracondylar femoral fractures with a retrograde intramedullary nail. ClinOrthopRelat Res. 1996 Nov;(332):90-7. [PubMed]
14. Watanabe Y, Takai S, Yamashita F, Kusakabe T, Kim W, Hirasawa Y. Second-generation intramedullary supracondylar nail for distal femoral fractures. IntOrthop. 2002;26(2):85-8.
15. Lucas. Quoted by Rockwood CA, Green DP. Fractures in adult,45h ed,Vol.II, pg.1972-93,1996.
16. Schatzker J, Horne G, Waddell J.TheTorontoexperiencewithsupracondylarfracturesoffemur.Injury 6,pg.113-28,1975. [PubMed]
17. Markmiller M, Konrad G, Südkamp N. Femur-LISS and distal femoral nail for fixation of distal femoral fractures: are there differences in outcome and complications? ClinOrthopRelat Res. 2004 Sep;(426):252-7. [PubMed]
18. Henderson CE, Lujan TJ, Kuhl LL, Bottlang M, Fitzpatrick DC, Marsh JL. 2010 mid-America Orthopaedic Association Physician in Training Award: healing complications
are common after lockedplating for distal femur fractures. ClinOrthopRelat Res. 2011 Jun;469(6):1757-65. doi: 10.1007/s11999-011-1870-6. Epub 2011 Mar 22. [PubMed]
19. Weight M, Collinge C. Early results of the less invasive stabilization system for mechanically unstable fractures of the distalfemur (AO/OTA types A2, A3, C2, and C3). JOrthop Trauma. 2004 Sep;18(8):503-8. [PubMed]
20. Kregor PJ, Stannard JA, Zlowodzki M, Cole PA. Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. J Orthop Trauma. 2004 Sep;18(8):509-20. [PubMed]
21. Schandelmaier P, Partenheimer A, Koenemann B, Grün OA, Krettek C. Distal femoral fractures and LISS stabilization. Injury. 2001 Dec;32 Suppl 3:SC55-63. [PubMed]
22. Schütz M, Müller M, Krettek C, Höntzsch D, Regazzoni P, Ganz R, Haas N. Minimally invasive fracture stabilization of distalfemoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases. Injury. 2001 Dec;32 Suppl 3:SC48-54. [PubMed]
2. Martinet O, Cordey J, Harder Y, Maier A, Bühler M, Barraud GE. The epidemiology of fractures of the distal femur. Injury. 2000 Sep;31 Suppl 3:C62-3. [PubMed]
3. Arneson TJ, Melton LJ 3rd, Lewallen DG, O'Fallon WM. Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965-1984. ClinOrthopRelat Res. 1988 Sep;(234):188-94. [PubMed]
4. Kretttek C, Schandelmeier P, Tscherne H. Distal femoral fractures. Unfallchirurg. 1996; 90:2. [PubMed]
5. Albert MJ.SupracondylarFractures of the Femur. J Am AcadOrthop Surg.1997 May;5(3):163-171. [PubMed]
6. Ruedi T, Murphy WM (2000) AO Principles of Fracture Management. Vol. 1. Thieme: Stuttgart-New York. [PubMed]
7. Schatzker J, Lambert DC. Supracondylar fractures of the femur. ClinOrthopRelat Res. 1979 Jan-Feb;(138):77-83.
8. Smith WR, Ziran BH, Anglen JO, Stahel PF.Lockingplates: tips and tricks.J Bone Joint Surg Am.2007 Oct;89(10):2298-307. [PubMed]
9. Zlowodzki M, Williamson S, Cole PA, Zardiackas LD, Kregor PJ.Biomechanicalevaluation of the lessinvasivestabilization system, angledbladeplate, and retrogradeintramedullarynail for the internal fixation of distalfemur fractures. J Orthop Trauma. 2004 Sep;18(8):494-502. [PubMed]
10. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS) and HSS—development of a self-administered outcome measure Orthop Sports Phys Ther 1998;2888-96.
11. Zlowodzki M, Bhandari M, Marek DJ, Cole PA, Kregor PJ. Operativetreatment of acutedistalfemur fractures: systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma. 2006 May;20 (5):366-71. [PubMed]
12. Carmack DB, Berton RM, Kingston C, Zmurko M, Watson JT, Richardson M. Identification of the optimal intercondylar starting point for retrograde femoral nailing: an anatomic study. J Trauma. 2003 Oct;55(4):692-5.
13. Gellman RE, Paiement GD, Green HD, Coughlin RR. Treatment of supracondylar femoral fractures with a retrograde intramedullary nail. ClinOrthopRelat Res. 1996 Nov;(332):90-7. [PubMed]
14. Watanabe Y, Takai S, Yamashita F, Kusakabe T, Kim W, Hirasawa Y. Second-generation intramedullary supracondylar nail for distal femoral fractures. IntOrthop. 2002;26(2):85-8.
15. Lucas. Quoted by Rockwood CA, Green DP. Fractures in adult,45h ed,Vol.II, pg.1972-93,1996.
16. Schatzker J, Horne G, Waddell J.TheTorontoexperiencewithsupracondylarfracturesoffemur.Injury 6,pg.113-28,1975. [PubMed]
17. Markmiller M, Konrad G, Südkamp N. Femur-LISS and distal femoral nail for fixation of distal femoral fractures: are there differences in outcome and complications? ClinOrthopRelat Res. 2004 Sep;(426):252-7. [PubMed]
18. Henderson CE, Lujan TJ, Kuhl LL, Bottlang M, Fitzpatrick DC, Marsh JL. 2010 mid-America Orthopaedic Association Physician in Training Award: healing complications
are common after lockedplating for distal femur fractures. ClinOrthopRelat Res. 2011 Jun;469(6):1757-65. doi: 10.1007/s11999-011-1870-6. Epub 2011 Mar 22. [PubMed]
19. Weight M, Collinge C. Early results of the less invasive stabilization system for mechanically unstable fractures of the distalfemur (AO/OTA types A2, A3, C2, and C3). JOrthop Trauma. 2004 Sep;18(8):503-8. [PubMed]
20. Kregor PJ, Stannard JA, Zlowodzki M, Cole PA. Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. J Orthop Trauma. 2004 Sep;18(8):509-20. [PubMed]
21. Schandelmaier P, Partenheimer A, Koenemann B, Grün OA, Krettek C. Distal femoral fractures and LISS stabilization. Injury. 2001 Dec;32 Suppl 3:SC55-63. [PubMed]
22. Schütz M, Müller M, Krettek C, Höntzsch D, Regazzoni P, Ganz R, Haas N. Minimally invasive fracture stabilization of distalfemoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases. Injury. 2001 Dec;32 Suppl 3:SC48-54. [PubMed]
CITATION
DOI: 10.17511/ijoso.2017.i04.05
Published: 2017-12-31
How to Cite
Sudhir Shroff, A., Sahebrao Bhamare, D., Herode, P., Hansraj Sadaria, M., & Mohan Patel, J. (2017). Comparison of outcomes of supracondylar femur fractures treated with locking compression plate vs supracondylar nail. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 3(4), 120- 126. https://doi.org/10.17511/ijoso.2017.i04.05
Section
Original Article
OAI - Open Archives Initiative
Therapoid
