관절경하 관절면의 정복 및 최소 침습적 고정술을 이용한 원위 대퇴골 관절내 골절의 치료 |
최지은1, 최성욱2, 강상민2, 김동희2 |
1제주대학교 의학전문대학원 의학과 2제주대학교 의학전문대학원 정형외과학교실 |
Arthroscopic-Assised Reduction and Minimally Invasive Plate Osteosynthesis for Complete Articular Fractures of the Distal Femure |
Ji Eun Choi1, Sungvvook Choi2, Sang-Min Kang2, Dong-Hee Kim2 |
1Jeju National University School of Medicine, Jeju, korea 2Department of Orthopedic Surgery, Jeju National University School of Medicine, Jeju, korea |
Correspondence:
Sungvvook Choi, Email: swchoil 115@gmail.com |
Received: 25 January 2014 • Revised: 3 February 2014 • Accepted: 8 February 2014 |
Abstract |
We designed a study to evaluate the effectiveness of arthroscopic-assisted reduction and minimally invasive plate osteosynthesis of the distal femure fracture (AO type 3.3 C). Among the patient who were treated from April 2008 to September 2011, 13 cases with complete articular fractures of the distal femure (AO type 3.3 C) arthroscopic-assisted reduction and minimally invasive plate synthesis were reviewed in this study. We reviewed the results of time to union, complications, clinical and radiologic assessments. Fourteen of 15 operative patients gained union with an average time of 15 weeks (range, 12 to 24 weeks). The average Tegner activity level was 4 (range, 2 to 6), Lysholme knee score was 90.2 points (range, 60 to 100 points). As for complications, one superficial infection, one nonunion, and one loosening of screw were seen. Although arthroscopic-assisted surgery is technically more demanding than the traditional open reduction and internal fixation, it is found to be an effective method of treating intraarticular fractures of the distal femure, because it has advantages of direct visualization of intra-articular fractures, accurate fracture reduction, simplified diagnosis and treatment of meniscal and ligamentous injuries and induces osteosynthesis with reduced of the rates of infection and nonunion. |
Key Words:
Distal Femoral Fracture, Arthroscopic-assited Reduction, Minimally Invasive Plate Osteosynthesis |
|