Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Cangzhou, Hebei province, China.
North China University of Science and Technology, Tangshan, Hebei province, China.
J Int Med Res. 2021 May;49(5):3000605211015031. doi: 10.1177/03000605211015031.
We compared the outcomes of three fixation techniques for Müller type C2 and C3 distal femoral fractures.
We retrospectively analyzed patients undergoing internal fixation for Müller type C2 and C3 distal femoral fractures via locking plate (Group A), lateral locking condylar plate and medial contoured reconstruction plate (Group B), and lateral locking condylar plate and anterior reconstruction plate (Group C). Knee joint functional recovery and functional outcomes were evaluated 12 months postoperatively.
Patients included 34 men and 24 women aged 25 to 74 years (mean, 50.3 ± 10.73 years). Operating times were longest in Group B and similar in Groups A and C. Bleeding volume in Group A was smaller than in Group B and similar to that of Group C. Functional outcomes were excellent in 18 (31%) fractures, good in 24 (41%), moderate in 11 (19%), and poor in 5 (9%). Good-to-excellent results were achieved in 56%, 82%, and 83% of patients (Groups A, B, and C, respectively). Groups B and C's outcomes were superior to Group A's outcomes. No significant difference in postoperative complications between the groups existed.
Lateral locking condylar and anterior reconstruction plating was useful for complex type C distal femoral fractures.
我们比较了三种固定技术治疗 Müller 型 C2 和 C3 股骨远端骨折的疗效。
我们回顾性分析了采用锁定钢板（A 组）、外侧锁定髁钢板和内侧塑形重建钢板（B 组）以及外侧锁定髁钢板和前重建钢板（C 组）进行内固定治疗的 Müller 型 C2 和 C3 股骨远端骨折患者。术后 12 个月评估膝关节功能恢复和功能结果。
患者包括 34 名男性和 24 名女性，年龄 25 至 74 岁（平均 50.3±10.73 岁）。B 组的手术时间最长，A 组和 C 组相似。A 组的出血量小于 B 组，与 C 组相似。18 例（31%）骨折功能结果为优，24 例（41%）为良，11 例（19%）为可，5 例（9%）为差。A、B、C 组患者的优良率分别为 56%、82%和 83%。B 组和 C 组的疗效优于 A 组。各组术后并发症无显著差异。
外侧锁定髁和前重建钢板对于复杂的 C 型股骨远端骨折是有用的。
