Servicios Personalizados
Revista
Articulo
Indicadores
Citado por SciELO
Accesos
Links relacionados
Similares en SciELO
Compartir
Acta ortopédica mexicana
versión impresa ISSN 2306-4102
Resumen
SOUKI-CHMEIT, F et al. Articular fractures of the distal femur. Comparative analysis of three surgical treatments. Acta ortop. mex [online]. 2017, vol.31, n.1, pp.1-11. ISSN 2306-4102.
Introduction:
The distal articular femur fracture is a serious injury that for years has been a problem in traumatology. It is often believed that produced varying degrees of permanent disability in the knee and that the fate of the joint was determined by the injury rather than treatment.
Objectives:
Present the results of surgical treatment of articular distal femur fractures type C2 with three treatment modalities: dynamic condylar screw (TDC), condylar buttress plate (PSC) and periarticular plate (PPA).
Material and methods:
We conducted a comparative study of three therapeutic series designed to compare the effectiveness of dynamic condylar screw, the condylar buttress plate and periarticular plate in treating complete articular fractures of distal femur type C2. Patients of both genders, aged between 16 and 60 years, treated in the IAHULA, with a minimum follow up of 24 months.
Results:
We included 42 patients divided into three groups. Males predominated with 73.8%, the most affected age group was 21-30 years with 28.57%. The most common type of fracture was the 33C2.3 with 42.86%. The 71.43% of patients experienced complications, highlighting joint stiffness, angular deviation in recurvatum, chronic pain and post traumatic osteoarthritis.
Conclusion:
TDC and the PPA are valid options for the treatment of distal femur fractures AO 33C2, as offered better functional results than PSC.
Palabras llave : Distal articular femur fracture; dynamic condylar screw; condylar buttress plate; periarticular plate.