Kiluçoğlu Onder I, Akgül Turgut, Sağlam Yavuz, Yazicioğlu Onder
Department of Orthopaedic Surgery, Istanbul Medicine Faculty, Istanbul, Turkey.
Acta Orthop Belg. 2013 Aug;79(4):417-21.
This study aimed to compare the efficacy of two treatment modalities for periprosthetic supracondylar fractures. The results of intramedullary nailing in 7 patients and locked plating in 9 patients were reviewed retrospectively. Mean follow-up was 4.3 years (range : 1 to 13 years). One patient died on the first postoperative day. Union of the fracture was achieved in the other 15 patients, after a mean time of 3.86 months: 3.9 months (range: 3 to 6 months) in the locked plate group and 3.86 months (range : 3 to 5 months) in the intramedullary nail group (p = 0.96). Mean Knee Society Score was 78 points (range : 68 to 84 points) and mean total knee range of motion was 82 degrees (range 70 degrees to 90 degrees) with no significant differences between groups. Sagittal and coronal plane measurements were similar both in the early postoperative period and at the last follow-up. The two treatment modalities had similar results with a high success rate.
本研究旨在比较两种治疗方式治疗假体周围髁上骨折的疗效。回顾性分析了7例采用髓内钉固定和9例采用锁定钢板固定患者的治疗结果。平均随访时间为4.3年（范围：1至13年）。1例患者术后第1天死亡。其余15例患者骨折均愈合，平均愈合时间为3.86个月：锁定钢板组为3.9个月（范围：3至6个月），髓内钉组为3.86个月（范围：3至5个月）（p = 0.96）。膝关节协会评分平均为78分（范围：68至84分），膝关节总活动范围平均为82度（范围：70度至90度），两组间无显著差异。术后早期及末次随访时矢状面和冠状面测量结果相似。两种治疗方式效果相似，成功率高。
