Use of 95 degree condylar blade plate in complex proximal femur fractures
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background- Angled Blade Plates have been introduced in the 1960s by the AO and Synthes and belong still to surgeons basic armatorium used for fracture treatment, revision surgery and correction osteotomies. They serve as a tension band plate whenever possible (i.e., condylar plates with medial bony buttress). Due to their fixed-angle shape, successful application needs careful planning, concise orientation in all planes (AP and lateral views, rotation) and precise preparation of the channel for the blade. The purpose of this study was to study the use of 95 degree condylar blade plate in complex proximal femur fractures and evaluate the results for union rates, complications and functional outcomes. Methods- Total 8 patients with complex proximal femur fractures were studied. The inclusion criteria for this study was age more than 18 years, all complex proximal femur fractures where nailing is not possible because of involvement of entry point and where proximal containment of the nail is not possible. Other indications were Narrow Medullary Canal, Non availability of the medullary canal because of distal femur fixation with an implant, while pathological fractures and fractures in less than 18 years people were not included. Results-Among the 8 cases studied 5 (62.5%) were male and 3(37.5%) were females. Mode of injury in most of the patients was road side accidents.1 case had to re-operate because of repeat fall. According to kyles criteria good to excellent scores were achieved in 8 out of 8 patients. Conclusions- 95 degree condylar blade is an effective method of reduction of complex proximal femur fractures where nailing is impossible or is extremely difficult.
Authors and Affiliations
chander Mohan Singh, manpreet Singh, Baljit Singh, Shaleen Sareen, Aryan Kakkar
Keywords
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