[Special aspects of operative treatment for distal femoral condylar fractures].
The concept of AO condylarplate has enabled successful surgical stabilisation for severe condylar and supracondylar fractures in 58% of our patients. We analyzed 113 fractures between 1968 to 1987. Comminuted zones were fixed by special methods. In 42% we preferred reconstruction by AO condylar-buttress-plate and bridging technics. There were clear indications for cancellous bone grafts in 52.6%, for revascularisizing segmental fragments, for supporting medial cortical zones and defect areas. The analysis demonstrated the effectiveness of several operative variants in 80.8%. The results are likely to support current recommendations to the use of special stabilizing methods for difficult situations.
Welz
K
K
Unfallchirurgischen Klinik Bezirkskrankenhauses Cottbus.
D001860:Bone Plates; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000453:epidemiology; D011379:Prognosis
Besonderheiten der operativen Behandlung distaler Femurkondylenbrüche.