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Comparative Study between Locking Compression Plate vs. Supracondylar Nail for Supracondylar Femur Fractures

Abhijeet Shroff, Prafull Herode, Jeegar Mohan Patel, Mohan H Sadaria, Vinod Nair

Abstract


Fractures of the supracodylar femur are a treatment challenge despite new fixation options. Except in extreme circumstances,
operative treatment for supracodylar femoral fractures is the standard, while nonsurgical treatment has largely fallen out of
favour as the result of further advances in technique and implants. The operative methods include the fixed angle blade plate
(FABP), compression screw systems (locking compression plate; LCP), condylar buttress plates, intramedullary nailing systems
(supracondylar nailing; SCN), external fixation and modular distal femoral replacement. However LCP plating proved to be
better choice than supracondylar nail. Locking condylar plate group had the best functional outcome followed by SCN group
according to Schatzker and Lambert criteria and our study based on it.

Keywords


supracondylar femur fractures, locking compression plate, supracondylar nailing, Schatzker and Lambert criteria

Full Text:

References


Kolmert L, Wulff K. Epidemiology and treatment of distal femoral fractures in adults. Acta Ortho Scand

;53:957–62.

Martinet O, Cordey J, Harder Y, et al. The epidemiology of fractures of the distal femur. Injury

;31(3):C62–3.

Arneson TJ, Melton LJ, Lewallen DG. Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965–1984. Clin Orthop 1988 Sep;234:188–94.

Kretttek C, Schandelmeier P, Tscherne H. Distal femoral fractures. Unfallchirurg 1996;90:2.

Albert MJ. Supracondylar fractures of the femur. J Am Acad Orthop Surg. 1997 May; 5(3):163–71.

Ruedi T, Murphy WM. AO Principles of Fracture Management, Vol. 1. Thieme: Stuttgart-New York,

Schatzker J, Lambert DC. Supracondylar fractures of the femur. ClinOrthop. Jan-Feb 1979;(138):77–83.

Smith WR, Ziran BH, Anglen JO, Stahel PF. Locking plate: tips and tricks. J Bone Joint Surg Am 2007

Oct;89(10)L:2298–307.

Zlowodzki M, Williamson S, Cole PA, et al. Biomechanical evaluation of the less invasive stabilization

system, angled blade plate, and retrograde intramedullary nail for the internal fixation of distal

femur fractures. J Orthop Trauma 2004;18:494–502.

Roos EM, Roos HP, Lohmander LS, et al. Knee Injury and Osteoarthritis Outcome Score (KOOS)

and HSS—development of a self-administered outcome measure. J Orthop Sports Phys Ther

;2888–96.

Zlowodzki M, Bhandari M, Marek DJ, et al. Operative treatment of acute distal femur fractures:

systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma 2006

May;20(5):366–71.

Carmack DB, Berton RM, Kingston C, et al. Identification of the optimal intercondylar starting

point for retrograde femoral nailing: an anatomic study. J Trauma 2003 Oct;55(4):692–5.


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