Abstract
Fractures of the femoral shaft are not uncommon. Forty-one comminuted femoral shaft fractures were treated with biological bridging plating technique. The mean duration required reaching a grade 2 callus formation on radiographic examination, to allow partial assisted weight bearing, was 9 weeks (8.5–12 weeks). In all but three cases, the fractures healed without complications. In the three poor cases, inadequate reduction and angulation required revision surgery and were considered as failure. Based on the results, biological fixation by a bridge plate could be an option for management of comminuted diaphyseal fractures of the femur in adults and is expected to cause less complication rate during the course of management.
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References
Krettek C, Schandelmaier P, Tscherne H (1997) New developments in stabilisation of dia- and metaphyseal fractures of long tubular bones. Orthopade 26:408–421
Müller ME, Allgöwer M, Schneider R, Willenegger H (1990) Manual of internal fixation. Techniques recommended by the AO-ASIF group. Springer-Verlag, Berlin Heidelberg, pp 118–122
Heitemeyer U, Hierholzer G (1985) Die überbrückende Osteo- synthese bei geschlossenen Stückfrakturen des Femurschaftes. Akt Traumatol 15:205–209
Maru M, Patil S, Cabrera H, Port A (2006) Percutaneous plating of distal tibial fractures :preliminary results. Injury 6:45
Karnezis A (2000) Biomechanical considerations in ‘biological’ femoral osteosynthesis: an experimental study of the ‘bridging’ and ‘wave’ plating techniques. Arch Orthop Trauma Surg 120:272–275
Sanders JO, Browne RH, Mooney JF, Raney EM, Horn BD, Anderson DJ, Hennrikus WL, Robertson WW (2001) Treatment of femoral fractures in children by pediatric orthopedists: Results of a 1998 survey. J Pediatr Orthop 21:436–441
Murphy SB, Simon SR, Kijewski PK, Wilkinson RH, Griscom NT (1987) Femoral anteversion. J Bone Joint Surg Am 69:1169–1176
Neer S, Grantham A, Shelton I (1976) Supracondylar fracture of the femur, a study of one hundred and ten cases. J Bone and Joint Surg 40-a:591–613
Claes L, Heitemeyer U, Krischak G, Braun H, Hierholzer G (1999) Fixation technique influences osteogenesis of comminuted fractures. Clin Orthop Relat Res 365:221–229
Karnez IA (2000) Biomechanical considerations in “biological” femoral osteosynthesis: an experimental study of the “bridging” and “wave” plating techniques. Arch Orthop Trauma Surg 120:272–275
Perren S, Ganz R (1997) Biological internal fixation of fractures: the balance between biology and mechanics. Eur Instr Course Lect 3:161–163
Ward TW, Levy J, Kaye A (1992) Compression plating for child and adolescent femur fractures. J Pediatr Orthop 12:626–632
Kasser JR (1996) Femoral shaft fractures. In: Rockwood CA Jr, Wilkins KE, Beaty JH (eds) Fractures in children. Lippincott-Raven, Philadelphia, pp 1195–1230
Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H (1999) Minimally invasive plate osteosynthesis: does percutaneous plating disrupt femoral blood supply less than the traditional technique? J Orthop Trauma 13(6):401–406
Chrisovitsinos JP, Xenakis T, Papakostides KG, Skaltoyannis N (1997) Bridge plating osteosynthesis of 20 comminuted fractures of the femur. Acta Orthop Scand 68(S275):72–76
Heitemeyer U, Kemper F, Hierholzer G, Haines J (1987) Severely comminuted femoral shaft fractures: treatment by bridging-plate osteosynthesis. Arch Orthop Trauma Surg 106:327–330
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El-Sayed, M.M.H., Issa, K.H., Atef, A. et al. Biological internal fixation of comminuted femur shaft fractures by bridge plating in adults. Eur Orthop Traumatol 5, 273–276 (2014). https://doi.org/10.1007/s12570-014-0247-1
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DOI: https://doi.org/10.1007/s12570-014-0247-1