Details

Autor(en) / Beteiligte

• Meneghini, R. Michael, MD
• Keyes, Brian J., DO
• Reddy, Kartheek K., MD
• Maar, Dean C., MD

Titel

Modern Retrograde Intramedullary Nails Versus Periarticular Locked Plates for Supracondylar Femur Fractures After Total Knee Arthroplasty

Ist Teil von

• The Journal of arthroplasty, 2014-07, Vol.29 (7), p.1478-1481

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2014

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• Abstract This study purpose is to analyze outcomes of modern intramedullary (IM) nails with a locked distal screw versus periarticular locking plates for peri-prosthetic supracondylar femur fractures in TKA. Ninety-five consecutive fractures in 91 patients were retrospectively reviewed. Fixation included 29 knees with a retrograde IM nail and 66 periarticular locked plates. Six patients died and 4 were lost to follow-up. There were 2 (9%) nonunions in the IM nail group and 12 non-unions/delayed-unions (19%) in the locked plate group ( P = 0.34). A mean of 5.0 distal screws was used in locked plates versus 3.8 distal screws in the IM nails ( P < 0.001). Despite a greater quantity of screws in the distal fragment, the failure rate of locked plating was twice that of IM nail fixation.