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Erschienen in:
01.09.2015 | Original Article
Is internal fixation using a reversed condylar locking plate useful for treating Vancouver type B1 periprosthetic femoral fractures?
Erschienen in: European Orthopaedics and Traumatology | Ausgabe 3/2015
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Purpose
The aim of this study is to investigate clinical result and complication with locking compression plate-distal femur (LCP-DF) for Vancouver type B periprosthetic fracture and compared to standard conventional locking plate.
Patients and methods
Twelve patients treated using reversed LCP-DF were compared with 12 treated using broad LCP. As radiographic evaluation, the period of bone union, and the numbers of screws and cables that were used with each plate were compared between the two groups. The complications, operation time, blood loss, and clinical assessment were investigated.
Results
The number of locking screws that could be inserted into the proximal fragment was 5.83 (4–8) in the LCP-DF group and 2.25 (1–4) in the Broad LCP group, being significantly greater in the former (p = 0.00003). Post-operative complications were observed in two patients, of whom one in the broad LCP group showed delayed healing after reduction loss, and the other in the LCP-DF group showed skin irritation symptoms in the plate application area. There was no significant difference in the mean operation times (p = 0.81), the mean blood losses (p = 0.47), and the walking ability (p = 0.95) between the two groups.
Conclusions
We showed that higher number of screws was inserted with reversed LCP-DF without any adverse event. This technique is safe with no inferior clinical outcome to standard locking plate.