ANATOMICAL PLATE COMBINED WITH CORTICAL BONE PLATE ALLOGRAFTS FOR TREATMENT OF COMMINUTED FRACTURES OF FEMORAL CONDYLES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 GUOZhimin , GONGXingxing , LIYanwei , QIUXiaochun , ZHANGMeng , SHANGGUANTiancheng , AOQingfang , LIUQiang

Orthopedic Center of Chinese PLA, the 175 th Hospital of Chinese PLA, Zhangzhou Fujian, 363000, P. R. China;

Corresponding?author：

GUOZhimin, Email: gzmin175@163.com

Keywords：

Comminuted fractures of femoral condyles; Anatomical plate; Cortical bone plate allograft

DOI：

10.7507/1002-1892.20150002

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To summarize the effectiveness of anatomical plate combined with cortical bone plate allografts in the treatment of comminuted fractures of the femoral condyles. Methods Between January 2008 and December 2012, 18 patients with comminuted fractures of the femoral condyles were treated, including 13 males and 5 females with an average age of 45 years (range, 23-65 years). Fractures were caused by traffic accident in 11 cases, by falling from height in 4 cases, and by the other in 3 cases. The locations were the left side in 7 cases and the right side in 11 cases. Of 18 fractures, 12 were open fractures and 6 were closed fractures. The mean time from injury to operation was 6 days (range, 4-15 days). The fixation was performed by anatomical plate combined with cortical bone plate allografts, and autograft bone or allogeneic bone grafting were used. Results Superficial local skin necrosis occurred in 1 case, and was cured after skin graft, and other incisions achieved primary healing. All patients were followed up 12-36 months (mean, 23 months). X-ray films showed that bone union was achieved within 3-12 months (5.6 months on average). No related complication occurred, such as fixation loosening, refracture, infection, or immunological rejection. According to Merchan et al. criteria for knee joint function evaluation, the results were excellent in 7 cases, good in 9 cases, fair in 1 case, and poor in 1 case at last follow-up; the excellent and good rate was 88.9%. Conclusion Anatomical plate combined with cortical bone plate allograft fixation is a good method to treat comminuted fractures of the femoral condyles. This method can effectively achieve complete cortical bone on the inside of the femur as well as provide rigid fixation.

Citation： GUOZhimin, GONGXingxing, LIYanwei, QIUXiaochun, ZHANGMeng, SHANGGUANTiancheng, AOQingfang, LIUQiang. ANATOMICAL PLATE COMBINED WITH CORTICAL BONE PLATE ALLOGRAFTS FOR TREATMENT OF COMMINUTED FRACTURES OF FEMORAL CONDYLES. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(1): 6-9. doi: 10.7507/1002-1892.20150002 Copy

1.	李程, 張立. AO股骨髁支撐鋼板內固定在股骨遠端復雜骨折的應用. 中國修復重建外科雜志, 2006, 20(7):706-708.
2.	朱新煒, 李云愷, 左金良, 等. 股骨遠端C型骨折鎖定鋼板內固定術后不愈合的原因及治療體會. 實用醫學雜志, 2012, 28(4):618-619.
3.	趙濱, 聶洪崚, 陳洪強, 等. 鎖定鋼板治療股骨遠端骨折失誤7例分析. 中國矯形外科雜志, 2013, 21(20):1373-1375.
4.	劉云鵬, 劉沂. 骨與關節損傷和疾病的診斷分類及功能評定標準. 北京:清華大學出版社, 2002:77-78.
5.	Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones:retrospec-tive and prospective analyses. J Bone Joint Surg (Am), 1976, 58(4):453-458.
6.	孫世荃. 同種異體骨移植的免疫排斥. 中華骨科雜志, 2001, 21(5):308-310.
7.	Merchan EC, Maestu PR, Blanco RP. Blade-plating of closed displaced supracondylar fractures of the distal femur with the AO system. J Trauma, 1992, 32(2):174-178.
8.	李永斌, 袁華軍, 何忠, 等. 切開復位解剖鋼板內固定治療股骨遠端復雜骨折. 中華創傷骨科雜志, 2006, 8(2):119-122.
9.	王傳舜, 李豪青, 伍凱, 等. 肱骨近端鎖定接骨板結合異體骨植骨治療外翻嵌插型四部分肱骨近端骨折. 中華創傷骨科雜志, 2013, 15(10):909-911.
10.	李康國, 張志明, 蔣定華. LISS鋼板治療股骨遠端C型骨折. 臨床骨科雜志, 2013, 16(6):669-670.
11.	李衛康, 戚浩天, 趙永杰, 等. 影響股骨髁間骨折術后膝關節功能的相關因素分析. 中國矯形外科雜志, 2013, 21(24):2443-2448.
12.	李松軍, 王兆杰, 譚偉源, 等. 股骨髁部復雜骨折內固定后膝關節功能受限的多元逐步回歸分析. 中國組織工程研究, 2013, 17(52):9029-9034.
13.	貝朝涌, 王銳英, 唐際存, 等. 股骨遠端骨折術后膝關節功能恢復影響因素分析. 中國修復重建外科雜志, 2009, 23(9):1053-1057.
14.	Palmu SA, Lohman M, Paukku RT, et al. Childhood femoral fracture can lead to premature knee-joint arthritis. 21-year follow-up results:a retrospective study. Acta Orthop, 2013, 84(1):71-75.
15.	Chandler HP, King D, Limbird R, et al. The use of cortical allograft struts for fixation of fractures associated with well-fixed total joint prostheses. Semin Arthroplasty, 1993, 4(2):99-107.
16.	Haddad FS, Duncan CP, Berry DJ, et al. Periprosthetic femoral fractures around well-fixed implants:use of cortical onlay allografts with or without a plate. J Bone Joint Surg (Am), 2002, 84(6):945-950.
17.	翟文亮, 丁真奇, 練克儉, 等. 鋼板結合異體骨板治療長骨干骨囊腫病理性骨折. 臨床骨科雜志, 2001, 4(3):212-214.
18.	周勇剛, 金志剛, 王巖, 等. 異體皮質骨支撐植骨在髖關節股骨翻修術中的應用. 中華關節外科雜志:電子版, 2008, 2(5):484-490.
19.	Wang JW, Weng LH. Treatment of distal femoral nonunion with internal fixation cortical allograft struts and autogenous bone grafting. J Bone Joint Surg (Am), 2003, 85(3):436-440.
20.	王臻, 劉繼忠, 黃長明, 等. 大段同種異體皮質骨移植后哈佛管內的骨誘導成骨研究. 中華骨科雜志, 2002, 22(5):313-317.
21.	陳璟昆, 彭昌貴, 李日旺, 等. 脛骨遠端骨折LISS術后結合中藥熏洗治療對踝關節功能恢復的影響. 廣東醫學, 2013, 34(17):2711-2713.

1. 李程, 張立. AO股骨髁支撐鋼板內固定在股骨遠端復雜骨折的應用. 中國修復重建外科雜志, 2006, 20(7):706-708.
2. 朱新煒, 李云愷, 左金良, 等. 股骨遠端C型骨折鎖定鋼板內固定術后不愈合的原因及治療體會. 實用醫學雜志, 2012, 28(4):618-619.
3. 趙濱, 聶洪崚, 陳洪強, 等. 鎖定鋼板治療股骨遠端骨折失誤7例分析. 中國矯形外科雜志, 2013, 21(20):1373-1375.
4. 劉云鵬, 劉沂. 骨與關節損傷和疾病的診斷分類及功能評定標準. 北京:清華大學出版社, 2002:77-78.
5. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones:retrospec-tive and prospective analyses. J Bone Joint Surg (Am), 1976, 58(4):453-458.
6. 孫世荃. 同種異體骨移植的免疫排斥. 中華骨科雜志, 2001, 21(5):308-310.
7. Merchan EC, Maestu PR, Blanco RP. Blade-plating of closed displaced supracondylar fractures of the distal femur with the AO system. J Trauma, 1992, 32(2):174-178.
8. 李永斌, 袁華軍, 何忠, 等. 切開復位解剖鋼板內固定治療股骨遠端復雜骨折. 中華創傷骨科雜志, 2006, 8(2):119-122.
9. 王傳舜, 李豪青, 伍凱, 等. 肱骨近端鎖定接骨板結合異體骨植骨治療外翻嵌插型四部分肱骨近端骨折. 中華創傷骨科雜志, 2013, 15(10):909-911.
10. 李康國, 張志明, 蔣定華. LISS鋼板治療股骨遠端C型骨折. 臨床骨科雜志, 2013, 16(6):669-670.
11. 李衛康, 戚浩天, 趙永杰, 等. 影響股骨髁間骨折術后膝關節功能的相關因素分析. 中國矯形外科雜志, 2013, 21(24):2443-2448.
12. 李松軍, 王兆杰, 譚偉源, 等. 股骨髁部復雜骨折內固定后膝關節功能受限的多元逐步回歸分析. 中國組織工程研究, 2013, 17(52):9029-9034.
13. 貝朝涌, 王銳英, 唐際存, 等. 股骨遠端骨折術后膝關節功能恢復影響因素分析. 中國修復重建外科雜志, 2009, 23(9):1053-1057.
14. Palmu SA, Lohman M, Paukku RT, et al. Childhood femoral fracture can lead to premature knee-joint arthritis. 21-year follow-up results:a retrospective study. Acta Orthop, 2013, 84(1):71-75.
15. Chandler HP, King D, Limbird R, et al. The use of cortical allograft struts for fixation of fractures associated with well-fixed total joint prostheses. Semin Arthroplasty, 1993, 4(2):99-107.
16. Haddad FS, Duncan CP, Berry DJ, et al. Periprosthetic femoral fractures around well-fixed implants:use of cortical onlay allografts with or without a plate. J Bone Joint Surg (Am), 2002, 84(6):945-950.
17. 翟文亮, 丁真奇, 練克儉, 等. 鋼板結合異體骨板治療長骨干骨囊腫病理性骨折. 臨床骨科雜志, 2001, 4(3):212-214.
18. 周勇剛, 金志剛, 王巖, 等. 異體皮質骨支撐植骨在髖關節股骨翻修術中的應用. 中華關節外科雜志:電子版, 2008, 2(5):484-490.
19. Wang JW, Weng LH. Treatment of distal femoral nonunion with internal fixation cortical allograft struts and autogenous bone grafting. J Bone Joint Surg (Am), 2003, 85(3):436-440.
20. 王臻, 劉繼忠, 黃長明, 等. 大段同種異體皮質骨移植后哈佛管內的骨誘導成骨研究. 中華骨科雜志, 2002, 22(5):313-317.
21. 陳璟昆, 彭昌貴, 李日旺, 等. 脛骨遠端骨折LISS術后結合中藥熏洗治療對踝關節功能恢復的影響. 廣東醫學, 2013, 34(17):2711-2713.

Chinese Journal of Reparative and Reconstructive Surgery

ANATOMICAL PLATE COMBINED WITH CORTICAL BONE PLATE ALLOGRAFTS FOR TREATMENT OF COMMINUTED FRACTURES OF FEMORAL CONDYLES

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content