scholarly journals Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate

2021 ◽  
Author(s):  
Dae Jin Nam ◽  
Min Seok Kim ◽  
Tae Ho Kim ◽  
Min Woo Kim ◽  
Suc Hyun Kweon
Keyword(s):  
Elderly Patients ◽  
Plate Fixation ◽  
Femoral Fractures ◽  
Knee Score ◽  
Knee Motion ◽  
Distal Femoral Fractures ◽  
Single Plate ◽  
Lysholm Knee Score ◽  
The Mean ◽  
Group B

Abstract Introduction: We evaluated the radiologic and clinical outcomes of a lateral incision single plate with and a single-incision double plating in elderly patients with osteoporotic distal femoral fractures.Materials and Methods: We performed a retrospective study of 82 cases of distal femoral fractures from May 2004 to June 2018. Group A consisted of 42 patients who underwent single-plate fixation. Group B consisted of 40 patients who underwent double-plate fixation. The mean patient age was 77 years (67–87 years) and 76 years (64–86 years) in groups A and B, respectively. All patients were evaluated for procedure duration, time to union, range of knee motion, Lysholm knee score, and presence of complications.Results: The average procedure time was 81 min (66–92 min) and 110 min (95–120 min) in groups A and B, respectively(p=0.33). One case in group B required bone grafting after 5 months. The average time to union was 14 weeks (9–19 weeks) and 12.2 weeks (8–19 weeks) (p=0.63), and the mean range of knee motion was 105° (90–125°) and 110.7° (90°–130°) (p=0.37) in groups A and B, respectively. There was no significant statistical difference between the two groups in the Lysholm knee score(p=0.44) and knee society score(p=0.53).Conclusion: The clinical and radiological outcomes were similar in the 2 groups. In elderly patients, double plate fixation for distal femoral fractures is an useful method for several advantages such as adequate exposure, easy manipulation, anatomical reduction and stable fixation.

A78 Use of retrograde nailing in distal femoral fractures in elderly patients

Injury ◽  
2011 ◽  
Vol 42 ◽  
pp. S21
Author(s):  
I. Papageorgiou ◽  
K. Papageorgiou ◽  
D.P. Voutsas ◽  
S. Christodoulou
Keyword(s):  
Elderly Patients ◽  
Femoral Fractures ◽  
Retrograde Nailing ◽  
Distal Femoral Fractures

scholarly journals Evaluation of the Results of Arthroscopic Release in Limits of Movement in Knees

2020 ◽  
Author(s):  
Mohammad Reza Sobhan ◽  
Seyed Hossein Saeed Banadaky ◽  
Mohammad Shafiee ◽  
Mohammad Gheisari
Keyword(s):  
Statistical Tests ◽  
Cross Sectional Study ◽  
Knee Score ◽  
Cross Sectional ◽  
Mean Values ◽  
Arthroscopic Release ◽  
Lysholm Knee Score ◽  
Significant Difference ◽  
Before And After ◽  
The Mean

Introduction: Limits of movement in knees is one of the most common complications following trauma and surgery. With early diagnosis and appropriate treatment choices, knee replacement and performance improvement are expected in many patients. However, limits of movement in knees is unpleasant and should be corrected as soon as possible. In this study, we decided to evaluate the results of arthroscopic release in motion limits of knees. Methods: This was a descriptive cross-sectional study.14 patients who referred to the Shahid Sadoughi Hospital of Yazd from 2014 to 2016 and diagnosed with knee limitation (flexion or extension restriction of more than 10 degrees) were selected. Patients were undergone arthroscopic release and followed-up for 6 months. Lysholm knee score, degrees of flexion and extension, and patient satisfaction were evaluated. The results were analyzed by SPSS-18 and statistical tests Paired T-test as well as Spearman correlation. Results: The mean age of the patients was 28.92±10.99 years. The most common type of trauma in the patients was femoral distal fracture (46.7%). The frequency of the patients' satisfaction with arthroscopy was as followed: 50% (7 patients), had moderate satisfaction, 28.6% (4 ones), high satisfaction, and 21.4% (3 ones) had low satisfaction.The mean difference in Lysholm Knee Score, improvement in degree of extension, improvement in degree of flexion and pain score before and after arthroscopy were 26.21±14.11,64.78±26.13,3.57±2.92 and 4.13±1.65,respectively.There was a significant difference between the mean values of these factors before and after arthroscopy. Conclusion: According to the results obtained, we can conclude that arthroscopic release is an effective and low-complication method in motion limits of knees.

scholarly journals Is radiofrequency use in arthroscopic treatment of isolated medial meniscus horizontal cleavage tears more effective than mechanical debridement in young adults?

2020 ◽  
pp. 76-76
Author(s):  
Özgür Korkmaz ◽  
Uğur Kasman ◽  
Sıtkı Çeçen
Keyword(s):  
Clinical Outcomes ◽  
Medial Meniscus ◽  
Knee Score ◽  
Arthroscopic Partial Meniscectomy ◽  
Vas Score ◽  
Bipolar Radiofrequency ◽  
Lysholm Knee Score ◽  
The Mean ◽  
Early Clinical Outcomes

Introduction/Objective. Arthroscopic mechanical hand tools, motorized shavers, and bipolar radiofrequency are used in arthroscopic partial meniscectomy. The aim of this study is to evaluate efficacy of radiofrequency on early clinical outcomes in patients who underwent arthroscopic partial meniscectomy with horizontal cleavage tear and without additional intraarticular knee pathology. Methods. A total of 37 patients complied with the study criteria. Patients were divided into two groups according to usage of bipolar radiofrequency. Patients were evaluated by using visual analog scale (VAS) and Tegner Lysholm knee scores at the end of the first year follow-up. Results. Twenty-two patients comprised the shaver-using group. Preoperative mean VAS score was 7.9 ? 0.8, and the Tegner Lysholm knee score was 49.6 ? 9.6. Fifteen patients comprised the bipolar radiofrequency-using group. Preoperative VAS score was 7.8 ? 0.9, and the Tegner Lysholm knee score was 52.2 ? 10.7. The mean VAS score was 1.2 ? 0.9, and the mean Tegner Lysholm knee score was 89.5 ? 8.1 in shaver used group at last follow-up. At the last postoperative follow-up, the mean VAS score was 1.1 ? 1, and the Tegner Lysholm knee score was 88.8 ? 7.3 in the bipolar radiofrequency-using group. No statistically significant differences between the VAS and Tegner Lysholm knee scores of the preoperative and postoperative controls of the two groups were observed (p?0.05). Conclusion. Radiofrequency use has no effect on early clinical outcomes in the arthroscopic treatment of isolated medial meniscus posterior horn horizontal cleavage tears; we do not recommend its use

The Olerud Extensile Anterior Approach for Complex Distal Femoral Fractures: A Systematic Review

2019 ◽  
Author(s):  
Anton Khlopas ◽  
Linsen T. Samuel ◽  
Assem A. Sultan ◽  
Benjamin Yao ◽  
Damien G. Billow ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postoperative Complications ◽  
Anterior Approach ◽  
Road Traffic ◽  
Femoral Fractures ◽  
Treatment Technique ◽  
Distal Femoral Fractures ◽  
Pubmed Database ◽  
The Mean

AbstractThe management of AO/OTA (AO Foundation/Orthopaedic Trauma Association) 33-C3 complex distal femoral fractures presents challenges for orthopaedic surgeons. The extensile anterior approach may be an appropriate alternative treatment technique. The purpose of this systematic review is to (1) evaluate the Olerud approach (extensile anterior approach) for the treatment of 33-C3 complex distal femoral fractures and (2) evaluate postoperative patient outcomes. A systematic literature search was performed to retrieve studies that evaluated the treatment of 33-C3 complex distal femoral fractures. The PubMed database query resulted in 429 studies. Two reviewers independently reviewed the studies, of which six were identified. Patient demographics, AO/OTA fracture, surgical intervention, follow-up duration, clinical outcomes, and postoperative complications were collected and analyzed. The systematic review included six studies reporting on 85 patients (43 males and 42 females); the mean patient age was 45 years (range: 16–101 years). The most common cause of injury was road/traffic accident (51 patients). The mean follow-up time was 26 months (range: 3–72 months). In five studies, the mean time for union was 5.8 months (range: 2–9 months). The three most commonly reported complications were infection (seven [8.2%] patients), failure/malunion (three [3.5%] patients), and delayed tibial tuberosity osteotomy healing (three [3.5%] patients). Seventy (82.4%) patients did not suffer any postoperative complications. Out of 72 patients, 7 (9.7%) had resultant varus/valgus deformity. Overall, 57.1% had excellent/good functional outcomes. Based on the systematic literature review, the extensile anterior approach may be a viable alternative surgical option for 33-C3 complex distal femoral fractures. Given the current literature, more comprehensive and extensive studies need to be performed to ensure the best possible outcome.

All-Inside Arthroscopic Repair For Longitudinal Meniscal Tears: Clinical and Functional Results

2021 ◽  
Author(s):  
Stefano Grossi ◽  
Edoardo Ipponi ◽  
Eric Bufalino ◽  
Gabriele Gariffo ◽  
Gabriele Filoni ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Meniscal Tear ◽  
Meniscal Repair ◽  
Functional Results ◽  
Repair System ◽  
Knee Score ◽  
Meniscal Tears ◽  
Lysholm Knee Score ◽  
Arthroscopic Meniscectomy ◽  
The Mean

Meniscal injuries are a common challenge in orthopaedic surgery. Depending on their location and the patient’s age and functional needs, they can be treated either conservatively or surgically. A surgical approach can consist of arthroscopic meniscectomy or meniscal suture. The latter is the treatment of choice in case of lesions involving the red-red or red-white areas of the meniscus, especially for young high-demanding patients. We report here our experience with the repair of longitudinal meniscal tears using the all-inside technique with the Fast-Fix™ 360 Meniscal Repair System (Smith & Nephew Endoscopy, Andover, MA). We retrospectively evaluated 20 consecutive cases of longitudinal meniscal tears. In 4 cases, concomitant ACL rupture was diagnosed and treated alongside the meniscal repair. All patients underwent periodic clinical evaluations. At the latest check-up, their functional outcomes were rated according to the Tegner-Lysholm Knee and KOOS scoring scales. The mean Tegner-Lysholm Knee score was 84.85 (44-100) and the mean KOOS score was 88.58. No failure or major complications were observed. Furthermore, a negative statistical association was observed between age at surgery and the post-operative Tegner-Lysholm Knee score (coef. = -1.01189 [-1.942073,-0.0817063], p = 0.035). This relation, independent of gender, meniscus involved, eventual associated ACL reconstruction, and chondral injury, suggests that functional outcomes worsen with increasing patient age. Our results suggest that the arthroscopic all-inside suture is both safe and effective in cases of longitudinal meniscal tear, considering the good post-operative functionality and low rates of local complications and surgical failures.

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