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ORIGINAL ARTICLE
Year : 2020  |  Volume : 4  |  Issue : 2  |  Page : 137-145

Treatment of distal femur fractures with metaphyseal comminution by minimal internal fixation combined with Ilizarov external fixator


Department of Orthopedic Surgery, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

Correspondence Address:
MD Wael Sh Mahmoud
Assistant Professor of Orthopedic Surgery, 15, Mohamed Refat St, Abassia, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sjamf.sjamf_11_20

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Objectives To evaluate the minimal internal fixation combined with Ilizarov external fixator in treatment of distal fractures of the femur, its effectiveness, complications, and ability to return to work. Patients and methods Fifteen patients (11 males and four females) with comminuted distal femur fractures (12 patients closed and three open) were treated at our hospital. All patients were admitted to the same treatment procedure, which is open reduction, minimal internal fixation by two cannulated screws, and preplanned Ilizarov frame fixation. Olive wires fixation of the reduced condyles to the distal Ilizarov ring was done, which is just above the knee joint. There is no ring distal to the knee joint. Results According to ASAMI protocol, we have nine cases of good results, five excellent, and one case of fair result. Operative time for the procedure averaged 70 min (range, 50–140 min). The mean time in fixation was 26.4 weeks (24–32 weeks). The mean follow-up period after removal of Ilizarov frame was 48.6 weeks (36–67 weeks). Conclusion With short-term follow-up, the Ilizarov external fixator associated with minimal internal fixation is effective in treatment of comminuted distal femur fractures.


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