title: Treatment of distal femoral fractures in the elderly using a less-invasive plating technique.
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.
authors.affiliation: Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, SAR. wongmankwan@hotmail.com
authors.forename: Man-Kwan
authors.initials: MK
authors.lastname: Wong
authors.forename: Frankie
authors.initials: F
authors.lastname: Leung
authors.forename: Shew Ping
authors.initials: SP
authors.lastname: Chow
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D016896:Treatment Outcome