Minimally invasive plate osteosynthesis for distal femur fractures.

Suman K Shrestha, Pramod Devkota, Padam B Khadka, Hemant K Manandhar, Nabeesman S Pradhan, Balakrishnan M Acharya

Abstract


Many methods have been applied to manage the distal femur fractures. Minimally invasive plate osteosynthesis (MIPO) is the latest technology using locking compression plate (LCP) is the new concept for the management of these fractures. Total of 29 cases of the distal femur fractures ( 21 AO type 33A  and eight AO type 33C) were treated with the MIPO technique. Clinical and radiological evaluation was done at 6, 10, 14, 20, 24 weeks and 9, 12, 18, 24 and 30 months respectively.The mean age of the patients was 44.96 years (range 20 -70); male patients were 18 and female were 11. The mean follow-up time was 36.62 months (range, 30 - 42 months). The patients were evaluated using Knee Society scores and the mean score was 90.24 (range, 75 – 100); the mean full weight bearing time was 15.41 weeks (range, 11 - 20 ) and union time was 22.55 weeks(range, 15 - 28).  Superficial infections and slight mal-alignment were seen on  five patients each. The MIPO with LCP technique can be used successfully to treat complex distal femur fractures with minimal complications. It can be an alternative method for the treatment of the distal femur fractures. 


Keywords


Minimally Invasive Plate Osteosynthesis; Biological Osteosynthesis, locking compression plate, soft tissue

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DOI: http://dx.doi.org/10.15383/jmio.15

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