Background class='Para'>Multiplanar complex C3-type unstable distal femoral fractures present many challenges in terms of approach and fixation. This prospective study investigat'/> Highly unstable complex C3-type distal femur fracture: can double plating via a modified Olerud extensile approach be a standby solution?
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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Highly unstable complex C3-type distal femur fracture: can double plating via a modified Olerud extensile approach be a standby solution?
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Highly unstable complex C3-type distal femur fracture: can double plating via a modified Olerud extensile approach be a standby solution?

机译：高度不稳定的复杂C3型股骨远端骨折：通过改良的Olerud可伸展方法进行双板手术是否可以作为备用解决方案？

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class="Heading">Background class="Para">Multiplanar complex C3-type unstable distal femoral fractures present many challenges in terms of approach and fixation. This prospective study investigates a possible solution to these problems through double plating with autogenous bone grafting via a modified Olerud extensile approach. class="Heading">Materials and methods class="Para">Twelve patients with closed C3-type injuries were included; eight of them were male, and their mean age was 33.5?years (range 22–44?years). Mechanism of injury was road traffic accident (RTA) in nine patients and fall from height in the other three cases. Eight cases were operated during the first week and four cases during the second week after injury. Mean follow-up was 13.7?months (range 11–18?months). class="Heading">Results class="Para">Mean radiological healing time was 18.3?weeks (range 12-28?weeks), and all cases had good radiological healing without recorded nonunion or malunion. Clinically, two cases (16.7?%) had excellent results, five cases (41.7?%) had good results, three cases (25?%) had fair results, and two cases (16.7?%) had poor results. No cases developed skin necrosis, deep infection, bone collapse, or implant failure. However, two cases (16.7?%) had limited knee flexion to 90° and required subsequent quadricepsplasty. class="Heading">Conclusions class="Para">Use of this modified highly invasive approach facilitated anatomical reconstruction of C3-type complex distal femoral fractures with lower expected complication rate and acceptable clinical outcome, especially offering good reconstruction of the suprapatellar pouch area. It can be considered as a standby solution for managing these difficult injuries.
机译：class =“ Heading”>背景 class =“ Para”>多平面复杂的C3型不稳定股骨远端骨折在方法和固定方面提出了许多挑战。这项前瞻性研究探讨了通过改良的Olerud可伸展方法，通过自体骨移植双板镀覆来解决这些问题的可能方法。 class =“ Heading”>材料和方法 class =“ Para” >包括十二名C3型闭合性损伤患者;其中有八名是男性，平均年龄为33.5岁（22-44岁）。受伤的原因是9例是道路交通事故（RTA），其他3例是从高处跌落。受伤后第一周有8例手术，第二周有4例。平均随访时间为13.7个月（范围11–18个月）。 class =“ Heading”>结果 class =“ Para”>平均放射治疗时间为18.3周。 （范围为12-28周），所有病例均具有良好的放射学愈合，未记录到骨不连或畸形畸形。临床上，有2例（16.7％）取得了良好的效果，5例（41.7％）取得了良好的结果，3例（25％）取得了良好的结果，2例（16.7％）取得了差的结果。没有病例发生皮肤坏死，深层感染，骨塌陷或植入失败。但是，有2例（16.7％）膝关节屈曲受限于90°，​​需要随后的四头肌成形术。 class =“ Heading”>结论 class =“ Para”>使用这种改良型高侵入性方法可促进C3型复杂股骨远端骨折的解剖重建，并具有较低的预期并发症发生率和可接受的临床结果，尤其是可以很好地重建睑上囊区域。它可以被视为处理这些困难伤害的备用解决方案。

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