Helical Plate Osteosynthesis in Distal Femur Fractures

Main Article Content

Agustín Quesada
Fabricio Videla Ávila
Gastón Horue Pontoriero
Jorge E. Filisetti

Abstract

Introduction: The use of double osteosynthesis for the treatment of fractures of the distal femur with metaphyseal comminution (AO 33C2, C3) and periprosthetic fractures (Vancouver C) provides greater stability. The use of helical plates has increased in order to avoid vascular damage related to the approach.
Materials and Methods: Between 2017 and 2021, six patients were treated by double plate osteosynthesis (helical plate by medial approach). The series consisted of four females and two males, 66% (4 patients) had distal femoral fractures, and the rest (33%, 2 patients) were diagnosed with Vancouver C periprosthetic fractures.
Results: In all cases, radiographic consolidation was observed 6 months after surgery, with a normal return to activities of daily living. None of them presented an associated neurovascular injury.
Conclusion: The helical plate is a great option in distal femur fractures and Vancouver C periprosthetic femoral fractures. By applying the basic principles of osteosynthesis, sophisticated materials can be supplied, obtaining good clinical, functional, and radiographic outcomes.

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How to Cite
Quesada, A., Videla Ávila, F., Horue Pontoriero, G., & Filisetti, J. E. (2022). Helical Plate Osteosynthesis in Distal Femur Fractures. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(2), 285-293. https://doi.org/10.15417/issn.1852-7434.2022.87.2.1509
Section
Nota técnica
Author Biographies

Agustín Quesada, Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Fabricio Videla Ávila, Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Gastón Horue Pontoriero, Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Department of Orthopedic Trauma, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Jorge E. Filisetti, Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Sanatorio Güemes, Autonomous City of Buenos Aires, Argentina

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