Helical Plate Osteosynthesis in Distal Femur Fractures

DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.2.1509
Keywords: Helical plate, distal femur fractures, femur osteosynthesis, periprosthetic fractures

Abstract

Introduction: The use of double osteosynthesis for the treatment of fractures of the distal femur with metaphyseal comminution (AO 33C2, C3) and periprosthetic fractures (Vancouver C) provides greater stability. The use of helical plates has increased in order to avoid vascular damage related to the approach. Materials and Methods: Between 2017 and 2021, six patients were treated by double plate osteosynthesis (helical plate by medial approach). The series consisted of four females and two males, 66% (4 patients) had distal femoral fractures, and the rest (33%, 2 patients) were diagnosed with Vancouver C periprosthetic fractures. Results: In all cases, radiographic consolidation was observed 6 months after surgery, with a normal return to activities of daily living. None of them presented an associated neurovascular injury. Conclusion: The helical plate is a great option in distal femur fractures and Vancouver C periprosthetic femoral fractures. By applying the basic principles of osteosynthesis, sophisticated materials can be supplied, obtaining good clinical, functional, and radiographic outcomes.

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Author Biographies

Agustín Quesada, Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Fabricio Videla Ávila, Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Gastón Horue Pontoriero, Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Jorge E. Filisetti, Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina
Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

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Published
2022-04-18
How to Cite
Quesada, A., Videla Ávila, F., Horue Pontoriero, G., & Filisetti, J. E. (2022). Helical Plate Osteosynthesis in Distal Femur Fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(2), 285-293. https://doi.org/10.15417/issn.1852-7434.2022.87.2.1509
Issue
Vol 87 No 2 (2022): Asociación Argentina del Trauma Ortopédico
Section
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