TY - JOUR
T1 - Cemented internal fixation for supracondylar femur fractures in osteoporotic patients
AU - Struhl, Steven
AU - Szporn, Monroe N.
AU - Cobelli, Neil J.
AU - Sadler, Arthur H.
PY - 1990/1
Y1 - 1990/1
N2 - Seventeen, supracondylar femur fractures in 15 severely osteoporotic patients (average age, 81.9 years) were treated with a 95° supracondylar plate and dynamic compression screw supplemented with intramedullary methyl methacrylate and massive cancellous bone graft harvested from the distal femoral metaphysis. Interfragmentary compression and rigid fracture fixation was obtained in all cases with the use of the A-O compression device. Patients were allowed early protected weight bearing without external immobilization. At follow-up observation (average, 2.1 years), bony union was noted in all cases, and knee flexion averaged 100.4°. There were no malunions or cases of implant failure. Complications included two early postoperative deaths and three femur fractures above the plate. This technique was effective in rapidly restoring patient mobility while avoiding the complications of implant failure.
AB - Seventeen, supracondylar femur fractures in 15 severely osteoporotic patients (average age, 81.9 years) were treated with a 95° supracondylar plate and dynamic compression screw supplemented with intramedullary methyl methacrylate and massive cancellous bone graft harvested from the distal femoral metaphysis. Interfragmentary compression and rigid fracture fixation was obtained in all cases with the use of the A-O compression device. Patients were allowed early protected weight bearing without external immobilization. At follow-up observation (average, 2.1 years), bony union was noted in all cases, and knee flexion averaged 100.4°. There were no malunions or cases of implant failure. Complications included two early postoperative deaths and three femur fractures above the plate. This technique was effective in rapidly restoring patient mobility while avoiding the complications of implant failure.
KW - Cancellous bone grafting
KW - Early weight bearing
KW - Interfragmentary compression
KW - Intramedullary methyl methacrylate
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U2 - 10.1097/00005131-199004020-00008
DO - 10.1097/00005131-199004020-00008
M3 - Article
C2 - 2358929
AN - SCOPUS:0025138761
SN - 0890-5339
VL - 4
SP - 151
EP - 157
JO - Journal of Orthopaedic Trauma
JF - Journal of Orthopaedic Trauma
IS - 2
ER -