PMID: 18714768Aug 22, 2008Paper

Long-term functional outcomes after intra-articular distal femur fractures: ORIF versus retrograde intramedullary nailing

Orthopedics
A Brian ThomsonWilliam T Obremskey

Abstract

This retrospective study evaluated the long-term clinical, functional, and radiographic outcomes of traditional open reduction internal fixation (ORIF) versus limited open reduction with retrograde intramedullary nailing for supracondylar-intercondylar distal femur fractures (Arbeitsgemeinschaft für Osteosynthesefragen [AO] 33-C type). Twenty-three fractures were followed in 22 patients for a mean follow-up of 80 months. The rate of subsequent bone-grafting procedures (67% vs 9%) and malunion (42% vs 0%) were significantly higher in ORIF compared to the less invasive retrograde intramedullary nailing treatment. A nonsignificant trend was noted for increased infection (25% vs 0%) and nonunion (33% vs 9%) in the ORIF group. The physical function component of the SF-36 was approximately 2 standard deviations below the US population mean, and 50% of patients demonstrated radiographic changes of posttraumatic arthritis. No patient has had a subsequent total knee arthroplasty.

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Citations

Oct 19, 2012·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Kanda GaoQiugen Wang
Feb 24, 2012·Journal of Orthopaedic Trauma·Hassan R MirWilliam T Obremskey
Sep 27, 2012·Journal of Orthopaedic Trauma·Steven A OlsonLoren L Latta Pe
Jun 14, 2012·Orthopedics·Thomas NeubauerMichael Plecko
Nov 29, 2015·The Orthopedic Clinics of North America·Anup K Gangavalli, Chinenye O Nwachuku
Apr 5, 2015·Injury·James R A SmithUNKNOWN Collaborative - Orthopaedic Trauma Society (OTS)
Mar 23, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·M EhlingerF Bonnomet
Mar 21, 2015·Journal of Orthopaedic Trauma·Michael J BeltranCory A Collinge
Jun 25, 2016·Injury·Michael J Gardner, Cory Collinge
Apr 15, 2016·Journal of Orthopaedic Trauma·Clayton C BettinRobert K Heck
Nov 22, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·G Piétu, M Ehlinger
Mar 25, 2014·Geriatric Orthopaedic Surgery & Rehabilitation·Brandon S ShulmanKenneth A Egol
Apr 20, 2011·Surgical Innovation·Ely Liviu SteinbergElchanan Luger
Aug 28, 2015·The Open Orthopaedics Journal·M L BertrandF J Pascual-López
Sep 11, 2010·Clinical Orthopaedics and Related Research·Philipp N StreubelMichael J Gardner
Apr 3, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Mark E HakeJames A Goulet
Oct 5, 2010·The Journal of the American Academy of Orthopaedic Surgeons·F Winston GwathmeyQuanjun Cui
Jul 9, 2020·Journal of Orthopaedic Trauma·Charles M LiederLaurence B Kempton
Dec 18, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Sadullah Turhan, Özkan Görgülü
Aug 31, 2019·The Orthopedic Clinics of North America·Jacob T Davis, Matthew I Rudloff

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