Outcomes of Distal Femur Non-Union Following Lateral Locked Plating Treated withan Addition of A Medial Locking Plate and Autogenous Bone Graft Volume 4 - Issue 3

Avtar Singh MS, Rajeev Vohra MS, Babaji Thorat DNB*, Sudhanshu Bansal DB, Anil Naikwadi DNB, and Dharmesh Patel DNB

• Department of Orthopaedic Surgery, Amandeep Hospital,India

Received: July 21, 2020;   Published: August 21, 2020

Corresponding author:Dr. Babaji Thorat, Department of Orthopaedic Surgery, Amandeep Hospital, India

DOI: 10.32474/OSMOAJ.2020.04.000187

 

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Abstract

Background: Distal femur non-unions are difficult to treat and can result in chronic pain, significant disability as well as delayed return to preinjury activity functional status. Addition of medial locking plate and autogenous bone grafting adds biomechanical stability, prevents varus collapse and implant failure, and decreases the morbidity associated with non-union. We evaluated results of addition of medial locking plate and bone grafting in aseptic distal femur non-union with stable lateral implant.

Methods: Between 2009 and 2019, we retrospectively reviewed 14 cases of clinically and radiologically established aseptic distal femur non-union treated by single stage procedure involving addition of medial locking plate and autogenous bone grafting. The fractures were classified according to the AO classification system was used for distal femur fractures. Patients were regularly followed-up for a minimum period of 12 months for clinico-radiological signs of union, functional outcome and any complications associated with it.

Conclusion: Timely medial locking plate augmentation and bone grafting done is an effective procedure to achieve union and prevent failure of the already present lateral implant in distal femur nonunion

Level of Evidence: Therapeutic Level III.

Keywords: Distal Femur Fracture; Non-Union; Medial Plating; Autogenous Bone Grafting

MeSH Terms: Osteosynthesis, Distal Femur, Non-Union, Plates, Bone Graft

Abstract| Introduction| Materials And Methods| Statistical Data Analysis| Results| Discussion| Conclusions| Conflicts of Interest| Declarations of interest| Source of Funding:| References|