BACKGROUND: There is no consensus on the best treatment of distal femoral fractures. PATIENTS AND METHODS: In a prospective study, we treated 29 patients with 30 distal femoral fractures with the Less Invasive Stabilization System (LISS) from 1997 to 2000. Almost 1/2 of them had open fractures, 1/3 extraarticular type A and 2/3 articular fractures type C (AO classification) and these had been caused by high-energy trauma with concomitant severe injuries or osteoporosis. RESULTS: The follow-up examinations after mean 20 (13-42) months consisted of radiographs, and determination of the Lysholm Knee Score and Knee Society Score (KSS). The outcome correlated with the severity of the fracture, anatomic reduction, exact positioning and fixation of the LISS and concomitant injuries. INTERPRETATION: We found the LISS for treatment of distal femoral fractures of all types to be a safe procedure with good results after careful planning and experience with this surgical technique. There is usually no need for primary cancellous bone grafting.
BACKGROUND: There is no consensus on the best treatment of distal femoral fractures. PATIENTS AND METHODS: In a prospective study, we treated 29 patients with 30 distal femoral fractures with the Less Invasive Stabilization System (LISS) from 1997 to 2000. Almost 1/2 of them had open fractures, 1/3 extraarticular type A and 2/3 articular fractures type C (AO classification) and these had been caused by high-energy trauma with concomitant severe injuries or osteoporosis. RESULTS: The follow-up examinations after mean 20 (13-42) months consisted of radiographs, and determination of the Lysholm Knee Score and Knee Society Score (KSS). The outcome correlated with the severity of the fracture, anatomic reduction, exact positioning and fixation of the LISS and concomitant injuries. INTERPRETATION: We found the LISS for treatment of distal femoral fractures of all types to be a safe procedure with good results after careful planning and experience with this surgical technique. There is usually no need for primary cancellous bone grafting.
Authors: Michael Bottlang; Josef Doornink; Trevor J Lujan; Daniel C Fitzpatrick; J Lawrence Marsh; Peter Augat; Brigitte von Rechenberg; Maren Lesser; Steven M Madey Journal: J Bone Joint Surg Am Date: 2010-12 Impact factor: 5.284
Authors: Christopher E Henderson; Trevor J Lujan; Lori L Kuhl; Michael Bottlang; Daniel C Fitzpatrick; John L Marsh Journal: Clin Orthop Relat Res Date: 2011-03-22 Impact factor: 4.176
Authors: Stephen M Porter; Hannah L Dailey; Katherine A Hollar; Karina Klein; James A Harty; Trevor J Lujan Journal: J Orthop Res Date: 2016-01-18 Impact factor: 3.494
Authors: Jacob Elkins; J Lawrence Marsh; Trevor Lujan; Richard Peindl; James Kellam; Donald D Anderson; William Lack Journal: J Bone Joint Surg Am Date: 2016-02-17 Impact factor: 5.284