One-stage Versus Two-stage Reduction of Malunited Femoral Fracture with Shortening
Journal Title: Malaysian Orthopaedic Journal - Year 2007, Vol 1, Issue 1
Abstract
Reduction of a malunited femoral diaphyseal fracture can be achieved by osteotomy and immediate internal fixation or gradual skeletal traction followed by delayed internal fixation. We retrospectively reviewed 27 patients with malunited and shortened femur. Nine patients with mean shortening of 4.7 cm (2.5-10.0) underwent acute one-stage reduction and gained 2.5 to 5.0 cm length. Eighteen patients with mean shortening of 5.3 cm (3.5 to 9.0) underwent two-stage reduction and gained 2.0 to 5.0 cm length. There was no paralysis in either group. No infection occurred in the one-stage procedure. Intramedullary fixation demonstrated superior results compares to plate fixation.
Authors and Affiliations
AR Sulaiman, H Eskandar, WI Faisham
Keywords
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