title: Ilizarov ring fixation and fibular strut grafting for C3 distal femoral fractures.
abstract: OBJECTIVE
  To evaluate treatment outcome following surgical repair of C3 distal femoral fractures using autogenous fibular strut, cortico-cancellous bone grafting, and Ilizarov ring fixation.
  
  
  METHODS
  A total of 15 patients with type C3 fractures (supracondylar and intercondylar fractures, with multiplane articular injury) underwent surgical repair at St. John's Medical College Hospital between 1994 and 2001, using autogenous fibular strut, cortico-cancellous bone grafting, and Ilizarov ring fixation. 13 were seen for ongoing follow-up and assessment. Definitive surgery was undertaken at a mean of 3 weeks after admission. Postoperatively, weight-bearing and mobilisation exercise were begun in 2 to 4 weeks.
  
  
  RESULTS
  The mean follow-up period was 47 months. Union was achieved in all 13 cases by an average time of 19 weeks. At the last follow-up, the mean range of knee motion was 77 degrees. Assessment of functional outcome (using Neer's scoring criteria) revealed 10 cases with good or satisfactory outcomes, and 3 cases with poor or unsatisfactory results.
  
  
  CONCLUSIONS
  Surgical repair with a fibular strut, cortico-cancellous bone graft and Ilizarov ring fixation appears a suitable treatment option for C3 distal femoral fractures.
authors.affiliation: Department of Orthopaedics, St. John's Medical College Hospital, Bangalore 560034, India. tanvi_ramesh@yahoo.com
authors.forename: L J
authors.initials: LJ
authors.lastname: Ramesh
authors.forename: S A
authors.initials: SA
authors.lastname: Rajkumar
authors.forename: R
authors.initials: R
authors.lastname: Rajendra
authors.forename: H P
authors.initials: HP
authors.lastname: Rajagopal
authors.forename: M S
authors.initials: MS
authors.lastname: Phaneesha
authors.forename: S
authors.initials: S
authors.lastname: Gaurav
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D018889:Ilizarov Technique; D015601:Injury Severity Score; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D014182:Transplantation, Autologous; D016896:Treatment Outcome