title: [ANATOMICAL PLATE COMBINED WITH CORTICAL BONE PLATE ALLOGRAFTS FOR TREATMENT OF COMMINUTED FRACTURES OF FEMORAL CONDYLES].
abstract: OBJECTIVE
  To summarize the effectiveness of anatomical plate combined with cortical bone plate allografts in the treatment of comminuted fractures of the femoral condyles.
  
  
  METHODS
  Between January 2008 and December 2012, 18 patients with comminuted fractures of the femoral condyles were treated, including 13 males and 5 females with an average age of 45 years (range, 23-65 years). Fractures were caused by traffic accident in 11 cases, by falling from height in 4 cases, and by the other in 3 cases. The locations were the left side in 7 cases and the right side in 11 cases. Of 18 fractures, 12 were open fractures and 6 were closed fractures. The mean time from injury to operation was 6 days (range, 4-15 days). The fixation was performed by anatomical plate combined with cortical bone plate allografts, and autograft bone or allogeneic bone grafting were used.
  
  
  RESULTS
  Superficial local skin necrosis occurred in 1 case, and was cured after skin graft, and other incisions achieved primary healing. All patients were followed up 12-36 months (mean, 23 months). X-ray films showed that bone union was achieved within 3-12 months (5.6 months on average). No related complication occurred, such as fixation loosening, refracture, infection, or immunological rejection. According to Merchan et al. criteria for knee joint function evaluation, the results were excellent in 7 cases, good in 9 cases, fair in 1 case, and poor in 1 case at last follow-up; the excellent and good rate was 88.9%.
  
  
  CONCLUSIONS
  Anatomical plate combined with cortical bone plate allograft fixation is a good method to treat comminuted fractures of the femoral condyles. This method can effectively achieve complete cortical bone on the inside of the femur as well as provide rigid fixation.
authors.forename: Zhimin
authors.initials: Z
authors.lastname: Guo
authors.forename: Xingxing
authors.initials: X
authors.lastname: Gong
authors.forename: Yanwei
authors.initials: Y
authors.lastname: Li
authors.forename: Xiaochun
authors.initials: X
authors.lastname: Qiu
authors.forename: Meng
authors.initials: M
authors.lastname: Zhang
authors.forename: Tiancheng
authors.initials: T
authors.lastname: Shangguan
authors.forename: Qingfang
authors.initials: Q
authors.lastname: Ao
authors.forename: Qiang
authors.initials: Q
authors.lastname: Liu
mesh_terms: D064591:Allografts; D001860:Bone Plates; D004838:Epiphyses; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome