Distal femoral fractures and large bone defect reconstruction surgery.docVIP

 PAGE \* MERGEFORMAT 6 Distal femoral fractures and large bone defect reconstruction surgery On: Sun Yujie, Wang, Zhou Road Gang, Liu Hongzhi, Wang Lei, Su Hao [Abstract] open reduction and internal fixation of the LISS DF self “V”-shaped iliac bone, mixed allogeneic transplant of bone reconstruction method for distal femoral fracture with 12 cases of large bone defects and to investigate its efficacy, fracture The average healing time was 18.2 weeks. [Keywords:] femoral fractures; bone defect; fixation Our hospital from February 2004 ~ October 2007 and distal femoral fractures were treated in large bone defects in 12 patients, open reduction of the LISS-DF fixation and autogenous “V”-shaped iliac bone, allogeneic bone hybrid reconstruction method transplant treatment, satisfactory results are reported as follows. Clinical data 1 General information 10 cases of this group of male and 2 females; age of 19 to 68 years. The causes of injury: road traffic injuries in 9 cases, 2 cases of falls, gunshot wounds in 1 case. According to AO classification, are in C3-type fractures. 9 cases were open fractures, closed fractures in 3 cases; combined patellar fracture in 6 cases. femoral condyle defect in 2 cases on the whole, approached condyles, the medial defect in 3 cases, before the lateral defect in 2 cases, a single wall in 5 cases. 2 treatment 2.1 The group of 12 surgical cases, emergency surgery in 10 cases; the body with multiple injuries, gunshot wounds in 1 case in skeletal traction after surgery. All operations were lateral and posterolateral femoral approach (n = 1 due to gunshot wounds and crush intercondylar medial condyle of the line defects of the tibial tubercle osteotomy). reset condylar fractures, temporary Kirschner wire fixation, limb length and power lines in accordance with the adjusted plate with the LISS-DF (AO or coercion high) placed in the lateral femoral connection fixed femoral condyle and the femoral shaft. It is ta