학술논문

Clinical outcomes in periarticular knee fractures with flexible fixation using far cortical locking screws in locking plate: a prospective study
Document Type
Clinical report
Source
Musculoskeletal Surgery. August 1, 2019, Vol. 103 Issue 2, p149, 5 p.
Subject
Internal fixation in fractures
Knee -- Injuries
Health
Patient outcomes
Language
English
ISSN
2035-5106
Abstract
Purpose Periarticular fractures around the knee joint are treated traditionally by locking plates which provide excellent stability but suppress callus formation. Far cortical locking (FCL) screws allow axial motion and enhance uniform callus formation. Our study aims to evaluate the outcomes of FCL screws in traditional locking plate in periarticular fractures of the knee. Methods Thirty patients with periarticular fractures of the knee joint were operated with locking plate using FCL screws. All patients were evaluated clinically and radiographically using X-rays at 6, 12, 24 weeks, 1 year and with CT scan at 12-weeks follow-up. Results The average time for complete union was 20 weeks in tibial fractures and 24 weeks in femur fractures. Average time to full weight bearing ambulation was 4.8 ± 0.93 weeks. One patient had delayed union in which union was complete after 9 months. Conclusion This study shows that FCL screws in locking plates allow uniform callus formation and fracture union with minimal complication rates.
Author(s): B. Kidiyoor [sup.1], P. Kilaru [sup.1], K. R. Rachakonda [sup.1], V. M. Joseph [sup.1], G. V. Subramaniam [sup.1], S. R. Sankineani [sup.1], A. Nugur [sup.1], A. V. Gurava Reddy [...]