Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Femur
Abstract number: 24277
CLINICAL RESULTS IN DISTAL FEMORAL FRACTURES TREATED WITH MIPO
Pavel KRAEVSKY, Danail LILIYANOV, Asen BALTOV, Vladimir IVANOV, Andrey
IOTOV
Military Medical Academy, Sofia (BULGARIA)
Background: Comminuted fractures of distal femur with intraarticular involvement are
usually difficult to treat. Usage of Angular Stabile Locking System (ASLS) with MIPO
gives new opportunities in surgical treatment of these fractures. The purpose of this
study was to present advantages of the method and our clinical results.Material and
Methods: Between January 2006 and August 2009 28 patients with a total of 29
fractures of the distal femur were stabilized with ASLS (LISS-, LCP-DF-Synthe) using
MIPO. Ten male patients and 19 female patients with a mean age of 59.5 (20-88 yrs)
were included. Nine were polytrauma patients with associated injuries, tree of the
fractures were open and four were periprosthetic Fx. Two of the patients died of
unrelated reasons. Three of the patients were lost to follow up. According to the
AO/ASIF classification there were 12 , 2 B and 10 C fractures. The mean duration of
follow up was 10 months. Results: Twenty-one (87.5 %) out of the 24 fracture united
without mechanical complications and deep infections. Time to fracture healing
averaged 3.7 months (range, 3 - 5 months) in 21 cases. Time to full weight bearing
averaged 3.5 months (range, 2 - 5 months). Neer-score scale was used to evaluate
the functional outcome excellent and good results in 17 patients (70.9
%).Conclusions: Less invasive technique with ASLS implants provides biomechanical
stability and bio-logical fixation with low complication rates. MIPO allows early
functional restoration and bone healing, without usage of grafting.
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