Cemented internal fixation for supracondylar femur fractures in osteoporotic patients

Steven Struhl, Monroe N. Szporn, Neil J. Cobelli, Arthur H. Sadler

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)151-157
Number of pages7
JournalJournal of Orthopaedic Trauma
Volume4
Issue number2
StatePublished - 1990

Fingerprint

Osteoporotic Fractures
Femur
Compression Fractures
Fracture Fixation
Methacrylates
Weight-Bearing
Thigh
Immobilization
Knee
Observation
Transplants
Equipment and Supplies

Keywords

  • Cancellous bone grafting
  • Early weight bearing
  • Interfragmentary compression
  • Intramedullary methyl methacrylate

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Cemented internal fixation for supracondylar femur fractures in osteoporotic patients. / Struhl, Steven; Szporn, Monroe N.; Cobelli, Neil J.; Sadler, Arthur H.

In: Journal of Orthopaedic Trauma, Vol. 4, No. 2, 1990, p. 151-157.

Research output: Contribution to journalArticle

Struhl, Steven ; Szporn, Monroe N. ; Cobelli, Neil J. ; Sadler, Arthur H. / Cemented internal fixation for supracondylar femur fractures in osteoporotic patients. In: Journal of Orthopaedic Trauma. 1990 ; Vol. 4, No. 2. pp. 151-157.
@article{8c5bcb861b0b49fc8e5c2dc4c25d61a5,
title = "Cemented internal fixation for supracondylar femur fractures in osteoporotic patients",
abstract = "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.",
keywords = "Cancellous bone grafting, Early weight bearing, Interfragmentary compression, Intramedullary methyl methacrylate",
author = "Steven Struhl and Szporn, {Monroe N.} and Cobelli, {Neil J.} and Sadler, {Arthur H.}",
year = "1990",
language = "English (US)",
volume = "4",
pages = "151--157",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

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

Y1 - 1990

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

UR - http://www.scopus.com/inward/record.url?scp=0025138761&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025138761&partnerID=8YFLogxK

M3 - Article

VL - 4

SP - 151

EP - 157

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

IS - 2

ER -