Osman Çiloğlu, Muhsin Dursun, Tuğhan Kalkan, Hakan Çiçek, Fırat Seyfettinoğlu, Hasan Ulaş Oğur

Distal femur kırıklarında retrograd intramedüller çivi ve perkutan plak osteosentez yöntemlerinin karşılaştırılması

Amaç: Distal femur kırıklarında retrograde kilitli intramedüller çivi uygulaması ile minimal invazif perkutan plakla osteosentez uygulamasının prospektif randomize olarak karşılaştırmalı analizi amaçlandı.

Anahtar Kelimeler:

femur kırığı, kırık tespiti, intramedüller yöntem, plak osteosentez

Comparison of retrograde intramedullary nailing and percutaneous plate osteosynthesis methods in distal femur fractures

Purpose: The aim of this study is to make prospective randomized comprehensive analysis of treatment results between the retrograde interlocking femoral nail and the percutan plate osteosynthesis in distal femoral fractures.Material and Methods: Forty seven patients (34M, 13F) underwent surgical treatment in our clinic with distal femoral fractures were evaluated. While 23 patients underwent retrograde interlocking femoral nailing, 24 patients underwent percutan plate osteosynthesis. Patients fractures were classified according to the AO Classification. The patients had open fractures were classified according to Gustilo Anderson. The patients were evaluated about functional fracture healing, union time and complication rates.Results: The mean union times were 25.3±5.7 weeks to 22.3±9 weeks. There were 8 excellent, 6 good, 7 moderate, 2 fair results in retrograde nail group and 12 excellent, 9 good, 3 moderate results in percutanous plate group. The mean joint range of motion was 102.6±16.5° in the retrograde nail group and 115.8±18.3° in the percutan plate group. Conclusion: Although union times are similar in both groups , percutan plate osteosynthesis is significantly superior than retrograde interlocking femoral nails about functions. Percutan plate osteosynthesis is significantly superior than retrograde interlocking femoral nail about complications.

Keywords:

femoral fractures, fracture fixation, intamedullary method, osteosynthesis,

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