Hegazy, M., Elgazzar, A., Farag, H., Fliefal, A. (2021). 'Minimal invasive percutaneous plate osteosynthes of distal femoral fracture', Benha Journal of Applied Sciences, 6(6), pp. 43-51. doi: 10.21608/bjas.2021.214369
Hegazy, M., Elgazzar, A., Farag, H., Fliefal, A. Minimal invasive percutaneous plate osteosynthes of distal femoral fracture. Benha Journal of Applied Sciences, 2021; 6(6): 43-51. doi: 10.21608/bjas.2021.214369
Minimal invasive percutaneous plate osteosynthes of distal femoral fracture
Orthopedic Surgery, Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt
Abstract
There is nine centimeter-long distal femoral fractures, and treating them may be difficult because of the difficulty of accessing the distal end of the femur. The goal is to see how well the minimally invasive plate osteosynthes (MIPO) method treats distal femoral fractures in adults. A total of 20 adults with distal femur fractures of categories A and C were included in this study and treated surgically with the MIPO distal femoral plate before being followed up. In all patients, the mean follow-up period was 5.600.50 months and the study was conducted both clinically and radiologically according to the Modified Hospital for Special Surgery (HSS) score, the Schatzker and Lambert score and the functional evaluation scale developed by Sanders and colleagues in relation to the range of motion, deformation, pain, walking ability and return to work for distal femoral fractures It was outstanding in 13 instances (65%), acceptable in 5, and mediocre in 2 situations (the remaining 25%). (10 percent ). A superficial infection was found, as were 10o-20o of knee flexion loss, incomplete union, and a loss of less than 0.5 inch in length compared to the sound limb in this research investigation. Distal femoral fixation with the Mipo technique of the distal femur is the best option for fixing distal femoral fractures in adults because of the following advantages: high union rates without the use of bone grafts, low infection rates, and the ability to keep the distal femoral fixation in place with a stable fixation.