| Literature DB >> 24581897 |
R Michael Meneghini1, Brian J Keyes1, Kartheek K Reddy1, Dean C Maar2.
Abstract
This study purpose is to analyze outcomes of modern intramedullary (IM) nails with a locked distal screw versus periarticular locking plates for peri-prosthetic supracondylar femur fractures in TKA. Ninety-five consecutive fractures in 91 patients were retrospectively reviewed. Fixation included 29 knees with a retrograde IM nail and 66 periarticular locked plates. Six patients died and 4 were lost to follow-up. There were 2 (9%) nonunions in the IM nail group and 12 non-unions/delayed-unions (19%) in the locked plate group (P = 0.34). A mean of 5.0 distal screws was used in locked plates versus 3.8 distal screws in the IM nails (P < 0.001). Despite a greater quantity of screws in the distal fragment, the failure rate of locked plating was twice that of IM nail fixation.Entities:
Keywords: fracture union; intramedullary nail; knee replacement; locked plate; periprosthetic fracture; total knee arthroplasty
Mesh:
Year: 2014 PMID: 24581897 DOI: 10.1016/j.arth.2014.01.025
Source DB: PubMed Journal: J Arthroplasty ISSN: 0883-5403 Impact factor: 4.757