Abstract
We treated 16 patients having fractures of the distal femur with the less-invasive stabilization system (LISS). Patients’ mean age was 75 (62–101) years. Fifteen patients had low-energy trauma. Eight fractures were type A (AO classification), three were type B and five were type C. In two cases, loosening of the proximal fixation was seen and surgical revision performed. Union time averaged 30 (16–68) weeks. There was no non-union. Average Oxford knee score was 46 (22–60). No loosening of the distal fixation was found. LISS appears to be an effective device in treating osteoporotic distal femoral fractures.
Résumé
Nous avons traité 16 malades présentant une fracture fémorale distale avec le Système de Stabilisation peu Invasif (LISS). L’âge moyen des malades était de 75 ans (62–101). Quinze malades avaient eu un traumatisme à basse énergie. Huit fractures étaient de type A (classification AO), trois étaient de type B, et cinq étaient de type C. Dans deux cas un démontage de la fixation proximale est survenu, avec nécessité de reprise chirurgicale. Le délai moyen de consolidation était de 30 semaines (16–68). Il n’y avait aucune non—consolidation. Le score moyen de genou Oxford était 46 (22–60). Il n’y a eut aucun démontage de la fixation distale. Le système LISS paraît être une méthode efficace pour traiter les fractures fémorales distales ostéoporotiques.
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Wong, MK., Leung, F. & Chow, S.P. Treatment of distal femoral fractures in the elderly using a less-invasive plating technique. International Orthopaedics (SICOT) 29, 117–120 (2005). https://doi.org/10.1007/s00264-004-0609-3
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DOI: https://doi.org/10.1007/s00264-004-0609-3