J Korean Fract Soc.  2010 Jul;23(3):282-288. 10.12671/jkfs.2010.23.3.282.

Treatment of Femur Supracondylar Fracture with Locking Compression Plate

• Bae SH
• Cha SH
• Suh JT

• KMID: 1712343
• DOI: http://doi.org/10.12671/jkfs.2010.23.3.282

Abstract

PURPOSE
To evaluate the effectiveness of locking compression plate by analyzing the clinical outcomes of open reduction and internal fixation with locking compression plate in the treatment of femur supracondylar fracture.
MATERIALS AND METHODS
We reviewed 21 cases of distal femur fractures which were treated with locking compression plate in our hospital from February 2005 to March 2009 and followed up for minimal 1 year. The types of fractures were seven A1, four A2, two A3, six C2, and two C3 according to AO classification. 2 cases were open fractures. The cases were evaluated by the criteria of Schatzker-Lambert.
RESULTS
The mean time to union was 14.3 weeks. One delayed union, one refracture were observed, but no nonunion and postoperative infection was observed. The outcomes were excellent in 6 cases, good in 11, fair in 3, and failure in 1 by the criteria of Schatzker-Lambert. The overall results were excellent or good in 17 cases (81.0%).
CONCLUSION
In the treatment of femur supracondylar fracture, open reduction and internal fixation with locking compression plate yields good result and locking compression plate is useful choice of fixation option.

Keyword

Femur; Supracondylar fracture; Locking compression plate

MeSH Terms

Femur
Fractures, Open

Figure

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  Fig. 1 (A) Preoperative radiograph of 41-year-old male shows type C2 fracture and patellar fracture. (B) The radiograph at 3 months after operation shows the union. (C) The radiograph at 1 year after operation shows refracture by traffic accident. (D) The radiograph at 1 year after refracture shows the good result.

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