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KMID : 0386420090220040246
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Journal of the Korean Fracture Society
2009 Volume.22 No. 4 p.246 ~ p.251
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The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach
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Ha Sung-Sik
Sim Jae-Cheon
Hong Ki-Do
Kim Jae-Young
Park Kwang-Hee
Choi Yoon-Ho
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Abstract
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Purpose: To evaluate clinical and radiological results of surgical treatment of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach.
Materials and Methods: This study reviewed the results of 9 cases of distal femur medial condyle fracture treated with lateral anatomical plate of opposite side through medial approach from December 2005 to June 2007, after a follow up of more than 12 months. There were 2 males and 7 females with a mean age of 63.1 (57∼72) years. The clinical results were evaluated using the Schatzker’s criteria, and the radiographic results were evaluated using the bone union time.
Results: Using the Schatzker’s criteria, 7 cases of the 9 patients (78%) showed exellent results. The mean time for bone union was 13.4 (11∼15) weeks. There were 3 cases of pain on full weight bearing same as previous operative state by degenerative osteoarthritis. There weren’t complications as joint stiffness, infection, varus & rotational deformity, malunion, nonunion, and metal failure.
Conclusion: Plate fixation using medial approach provides the proper anatomical reduction and stronger fixation, and outcome good results.
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KEYWORD
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Femur, Distal femur medial condyle fracture, Lateral anatomical plate of opposite side, Medial approach
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