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Evaluation of results of open distal femur fractures with primary fixation and antibiotic impregnated collagen

Chinese Journal of Traumatology 2019年第6期22卷 328-332页

作者： Maley Deepak Kumar Roop Singh rakesh khiyani Kiranpreet Kaur Svareen Department of Orthopaedic Surgery Paraplegia&RehabilitationPt.B.D.Sharma PGIMSHaryanaRohtak 124001India Department of Anesthesiology and Critical Care Pt.B.D.Sharma PGIMSHaryanaRohtak 124001India Baba Saheb Ambedkar Medical College RohiniNew DelhiIndia

Purpose:Distal femoral fracture is one of the most common lower limb injuries and accounts for less than 1%of all *** fracture takes 5%-10%of the all distal femoral fractures,which is at an increased risk of *** were limited studies which documented the outcomes of such *** present study aims to evaluate the outcome and complications in these fractures using primary definitive fixation with condylar locking plate and antibiotic impregnated collagen sheet secondary to aggressive ***:This is a prospective study conducted in a tertiary care orthopaedic hospital in northern *** patients of open distal femoral fractures were managed by primary definitive fixation with condylar locking plate and antibiotic impregnated collagen sheet secondary to aggressive *** were followed for minimum of six *** were followed up monthly for first four months,at six months and one year after *** and radiological signs of healing,any complications,time to union,and functional outcome were ***:The mean age of patients was 44.33 years(range 20-82 years)with male predominance of 66.7%.According to Gustilo-Anderson classification,there were 5,15 and 10 patients with open grade I,II and IIIA distal femoral fractures *** to orthopaedic trauma association(OTA)classification,majority of patients in our study were of C3 *** mean time to bony union was 5.6 months(range 4-9 months).Average postoperative knee range of motion(ROM)at the latest follow-up was 98°(range 70°-120°).Lysholm knee scoring scale showed excellent score in 11 patients,good in 9 patients,fair and poor in 5 patients each;however,there was no significant correlation with fracture pattern types(p<0.05).Knee stiffness was the major complications encountered in the *** knee ROM was<90°in 5 patients and 90°-120°in rest of the patients,while 1 patient had extensor lag of 10°.One patient had implant fa

关键词： Distal femur fracture Supracondylar Open fractures plating Outcome

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