Locking plate fixation versus antegrade intramedullary nailing for the treatment of extra-articular distal femoral fractures

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dc.contributor.authorOcalan, E.
dc.contributor.authorUstun, C. C.
dc.contributor.authorAktuglu, K.
dc.date.accessioned2020-12-01T12:09:27Z
dc.date.available2020-12-01T12:09:27Z
dc.date.issued2019
dc.departmentEge Üniversitesien_US
dc.descriptionAktuglu, Kemal/0000-0001-8058-0364en_US
dc.description.abstractIntroduction: the current study aimed to retrospectively analyze locked plating (LP) and antegrade intramedullary nailing (AIN) for the treatment of extra-articular distal femoral fractures. Patients and methods: Between January 2000 and March 2015, 97 patients (49 male, 48 female) underwent surgery for extra-articular distal femoral fractures in our clinic. Patients were grouped based on their method of treatment (69 (71.1%) with locked plate (LP group) and 28 (28.9%) with antegrade intramedullary nailing (AIN group)), and the groups were analyzed with regards to fracture types, associated trauma, hospital stay, Injury Severity Score (ISS), nonunion, reoperation rate and Lysholm Functional Knee Score. Results: the LP and AIN groups had no significant differences with regards to age and gender. Sixteen patients (16.4%) experienced nonunion; all of these (5 (5.1%) in the AIN group and 11 (11.3%) in the LP group) required a secondary procedure (p = 0.773). ISS was significantly higher in the AIN group (p = 0.033). There were no significant differences between the two groups with regards to hardware failure, postoperative malreduction, reoperation rate, deep infection, and nonunion. However, the AIN group (mean 88) had a significantly higher Lysholm Functional Knee Score than the LP group (mean 75.9) (p = 0.019). Conclusion: in our study we encountered less nonunion in AIN group. Both fixation methods offer good results; however, functional outcomes in the AIN group were significantly better than those in the LP group. (C) 2019 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2019.07.008
dc.identifier.endpage62en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.pmid31378542en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage55en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2019.07.008
dc.identifier.urihttps://hdl.handle.net/11454/63456
dc.identifier.volume50en_US
dc.identifier.wosWOS:000490237700008en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal of the Care of the Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDistal femuren_US
dc.subjectLocked plateen_US
dc.subjectIntramedullary nailingen_US
dc.titleLocking plate fixation versus antegrade intramedullary nailing for the treatment of extra-articular distal femoral fracturesen_US
dc.typeArticleen_US

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