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KMID : 0386420130260030205
Journal of the Korean Fracture Society
2013 Volume.26 No. 3 p.205 ~ p.211
Minimally Invasive Plate Osteosynthesis with Locking Compression Plate for Distal Femur Fracture
Cho Sung-Won

Ha Sang-Ho
Lee Gwang-Chul
Kim Woong-Hee
Abstract
Purpose: To analyze the clinical and radiologic results of minimally invasive plate osteosynthesis (MIPO) for distal femur fractures using a locking compression plate (LCP) and to evaluate its usefulness.

Materials and Methods: From May 2006 to April 2011, 23 patients (24 cases) with distal femur fracture were treated by MIPO with a LCP and followed-up for at least 12 months. Mean age was 61.6 years (35-80 years). Union time and post operative alignment were measured on radiograph, and clinical function was evaluated by range of motion (ROM), Knee Society Score and complications.

Results: In 22 patients (23 cases) except for 1 case, bony union was obtained after an average of 18 weeks (12 26 weeks). The mean ROM was 124 degrees (80-135 degrees). According to the Knee Society Score, there were 12 excellent, 8 good, 1 fair and 2 poor results and the mean score was 87.5 (60-98). Postoperative complications were nonunion in 1 case, ankylosis in 1 case, malunion in 2 cases and superficial wound infection in 2 cases.

Conclusion: The treatment of distal femoral fracture with MIPO using a LCP was considered a useful method which can result in satisfactory clinical and radiologic outcomes if there is accurate understanding about the surgical techniques and appropriate procedures involved.
KEYWORD
Distal femur fracture, Minimally invasive plate osteosynthesis, Locking compression plate
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