Severely comminuted femoral shaft fractures: Treatment by bridging-plate osteosynthesis
- 31 July 1987
- journal article
- research article
- Published by Springer Nature in Archives of orthopaedic and trauma surgery
- Vol. 106 (5), 327-330
- https://doi.org/10.1007/bf00454343
Abstract
We report on 71 severely comminuted femoral shaft fractures that were operated on between 1980 and 1984 at the Berufsgenossenschaftliche Unfallklinik Duisburg-Buchholz. The method of operative stabilization was plate osteosynthesis in two variations: In one group 39 fractures (ten open) were stabilized by plate osteosynthesis after anatomical reduction of the fractured area. The other group comprised 32 fractures (six open) fixed with a bridging-plate osteosynthesis, without preparation of the fracture zone. The rate of postoperative complications was strikingly diminished after bridging-plate osteosynthesis. Fracture healing occurred within 23 (16–32) weeks after bridging-plate osteosynthesis and within 36 (32–40) weeks after anatomical reduction. No special instrumentation or equipment is necessary to perform a bridging-plate osteosynthesis. The patient rests in a supine position. There is no need for intraoperative image-intensifier control. For operative treatment of severely comminuted femoral fractures we consider the technique of bridging-plate osteosynthesis advantageous, especially in multiply injured patients.This publication has 17 references indexed in Scilit:
- THE VALUE OF BRIDGING PLATE OSTEOSYNTHESIS IN COMMINUTED FRACTURES OF THE FEMUR1986
- Interlocking intramedullary nailing in femoral shaft fractures. A report of forty-eight cases.Journal of Bone and Joint Surgery, 1985
- [Bridging osteosynthesis in closed compound fractures of the femur shaft].1985
- Fractures of the femur treated by open and closed intramedullary nailing using the fluted rod.Journal of Bone and Joint Surgery, 1985
- Closed locked intramedullary nailing. Its application to comminuted fractures of the femur.Journal of Bone and Joint Surgery, 1985
- Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases.Journal of Bone and Joint Surgery, 1984
- Comminuted Fractures of the Femoral Shaft Treated by Intramedullary NailingOrthopedic Clinics of North America, 1980
- [Technique of internal fixation and results in comminuted and multifragment fractures of the femoral shaft (collective study by the German Section of the AO-International) (author's transl)].1977
- [Conservative and operative treatment of multifragment fractures of the thigh (experiences with 180 recent adult cases, and results of 81 late follow-ups) (author's transl)].1976
- [Primary and secondary healing of bone fractures].1971