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首页> 外文期刊>Injury >The condylar plate for treatment of distal femoral fractures: a long-term follow-up study.
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The condylar plate for treatment of distal femoral fractures: a long-term follow-up study.

机译：con突板治疗股骨远端骨折：长期随访研究。

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摘要

The aim of this retrospective study was to present the long-term functional and radiological outcomes of indirect reduction techniques and fixation with a condylar plate for treatment of distal femoral supracondylar or intracondylar femoral fractures. The series included 24 men and 17 women, mean age 51 years, between March 1994 and April 1999. All fractures were AO type 33, and eight were open fractures. Primary iliac bone graft was used in five cases. In one case of severe osteoporosis, screw fixation was augmented with cement. There were three delayed unions, one non-union and two infections; four participants required reoperation with bone grafts. Two (5%) participants developed a second varus deformity and three a second valgus deformity; correction osteotomy with bone grafts was necessary in these cases. After a mean follow-up of 9.5 years, the mean Neer score was 82 points and indicated that function was excellent in 16, satisfactory in 9, unsatisfactory in 4 and poor in 2 cases. The mean Neer score in cases of isolated fracture was 89 points and in cases with additional injuries was 72 points. Thus the long-term results of indirect reduction techniques of distal femoral fractures treated with the condylar plate were good to excellent in 82% of cases.
机译：这项回顾性研究的目的是介绍间接复位技术和with突板固定治疗股骨远端distal上或con内股骨骨折的长期功能和影像学结果。该系列包括1994年3月至1999年4月之间平均年龄51岁的24名男性和17名女性。所有骨折均为AO 33型，其中8例为开放性骨折。五例采用骨原位移植。在严重骨质疏松症的一例中，用水泥增强了螺钉固定。工会推迟了三个，一个不工会，两次感染。四名参与者需要再次进行植骨手术。两名（5％）参与者发生了第二内翻畸形，三名发生了第二外翻畸形。在这些情况下，必须用植骨矫正截骨术。在平均随访9.5年后，平均Neer评分为82分，表明功能优良者16例，满意者9例，不满意者4例，差者2例。孤立性骨折病例的平均Neer评分为89分，额外受伤病例的平均Neer评分为72分。因此，用con突板治疗股骨远端骨折的间接复位技术的长期效果在82％的病例中都非常好。

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