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Journals / Acta Orthopaedica et Traumatologica Turcica / 2018 / Cilt: 52 - Sayı: 2

An alternative treatment for osteoporotic Su Type III periprosthetic supracondylar femur fractures: Double locking plate Şxation

Fırat SEYFETTİNOĞLU
Hasan Ulas¸ a OGUR
Ümit TUHANİOĞLU
Hakan ÇİÇEK
Murat BOZKURTB
Pages
92–96
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

At the Şnal follow-up examination, acorrection loss (4.9± 1.5) was determined in the mean knee valgus angle according to the mechanicalaxis, which was statistically signiŞcant but remained within the physiological limits (p ¼ 0.21).Conclusion: In addition to providing the advantages of rigidŞxation together with early and effectiverehabilitation, satisfactory clinical and radiological results were obtained with the application of doublelocking plate and screw in the treatment of periprosthetic femoral fractures based on TKA, withosteoporosis.Level of evidence: Level IV, Therapeutic study.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Patients with Su Type III fractures based on total knee arthroplasty (TKA) constitute apatient group with problematic treatment and management.
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Key Findings & Data:Although it has difŞculties, open reductionand internalŞxation is one of the treatment options.Method: A retrospective evaluation was made of 22 patients surgically treated in our clinic with doublelocking, low contact titanium plate and screw for a Su Type III periprosthetic fracture based on TKA.
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Conclusion & Impact:At the Şnal follow-up examination, acorrection loss (4.9± 1.5) was determined in the mean knee valgus angle according to the mechanicalaxis, which was statistically signiŞcant but remained within the physiological limits (p ¼ 0.21).Conclusion: In addition to providing the advantages of rigidŞxation together with early and effectiverehabilitation, satisfactory clinical and radiological results were obtained with the application of doublelocking plate and screw in the treatment of periprosthetic femoral fractures based on TKA, withosteoporosis.Level of evidence: Level IV, Therapeutic study.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: Patients with Su Type III fractures based on total knee arthroplasty (TKA) constitute apatient group with problematic treatment and management. Although it has difŞculties, open reductionand internalŞxation is one of the treatment options.Method: A retrospective evaluation was made of 22 patients surgically treated in our clinic with doublelocking, low contact titanium plate and screw for a Su Type III periprosthetic fracture based on TKA. Thepatients were evaluated with bone mineral densitometry, postoperative Knee Society Score (KSS),WOMAC and radiological evaluations.Results: The mean follow-up period of the patients was 68.6± 15.5 months, with pain-free weightbearing determined at 4.9± 1.1 months and mean radiological union at 18.5 ± 4.3 weeks. Revision wasrequired because of non-union in 2 (9.09%) cases. The postoperative KSS value was 81.8± 7.8, theWOMAC value was 78.1± 5.3 and the T-score was 3.3 ± 0.3. At the Şnal follow-up examination, acorrection loss (4.9± 1.5) was determined in the mean knee valgus angle according to the mechanicalaxis, which was statistically signiŞcant but remained within the physiological limits (p ¼ 0.21).Conclusion: In addition to providing the advantages of rigidŞxation together with early and effectiverehabilitation, satisfactory clinical and radiological results were obtained with the application of doublelocking plate and screw in the treatment of periprosthetic femoral fractures based on TKA, withosteoporosis.Level of evidence: Level IV, Therapeutic study.

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Cite This Article

SEYFETTİNOĞLU, F., OGUR, H. U. A., TUHANİOĞLU, Ü., ÇİÇEK, H., BOZKURTB, M. (2018). An alternative treatment for osteoporotic Su Type III periprosthetic supracondylar femur fractures: Double locking plate Şxation. Acta Orthopaedica et Traumatologica Turcica, Cilt: 52 - Sayı: 2, 92–96. https://ajindex.com/articles/153267

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