Archives of Orthopaedic and Trauma Surgery

, Volume 111, Issue 4, pp 232–236 | Cite as

Treatment of femoral supracondylar unstable comminuted fractures

Comparisons between plating and Grosse-Kempf interlocking nailing techniques
  • Chi-Chuan Wu
  • Chun-Hsiung Shih
Clinical and Experimental Forum

Summary

A prospective study was done of 66 consecutive unstable comminuted supracondylar femoral fractures in adults, fixed with either plates (28 cases) or Grosse-Kempf interlocking nails (38 cases). Patients were followed up for at least 1 year (average 44 months). Interlocking nails led to a higher union rate and more satisfactory functional results. Nevertheless, the first distal transverse screw hole took a potential risk of breakage due to stress concentration. The authors conclude that for a cooperative patient, a closed static interlocking nail with strict non-weight-bearing should be the treatment of choice, and for an uncooperative patient, a closed static interlocking nail should be supplemented with a cast brace to reduce the complication rate.

Keywords

Public Health Complication Rate Potential Risk Functional Result Stress Concentration 

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Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • Chi-Chuan Wu
    • 1
  • Chun-Hsiung Shih
    • 1
  1. 1.Chang Gung Medical College, Department of OrthopedicsChang Gung Memorial HospitalKweishan, TaoyuanTaiwan, R.O.C.

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