Abstract

QUESADA, Agustín; VIDELA AVILA, Fabricio; HORUE PONTORIERO, Gastón  and  FILISETTI, Jorge E.. Osteosíntesis con placa helicoidal en las fracturas de fémur distal. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.2, pp.285-293. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.2.1509.

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.

Keywords : Helical plate; distal femur fractures; femur osteosynthesis; periprosthetic fractures.

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