Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Femur
Abstract number: 25337
TREATMENT OF DISTAL FEMORAL FRACTURES IN A VERY ELDERLY
POPULATION USING LISS PLATING. A REPORT OF OUTCOMES
saqeb MIRZA 1 , saif SALIH 2 , sukhmeet PANESAR 3 , syed NAQVI 2 , shafat GANGOO 2 ,
michael BOULD 2
1 Weston General Hospital, weston super mare (UNITED KINGDOM), 2 weston
general hospital, weston super mare (UNITED KINGDOM), 3 national patient safety
agency, london (UNITED KINGDOM)
Introduction: Distal femoral fractures are a common occurrence in the elderly and
their treatment is challenging due to multiple comorbidities and osteoporotic
bone.Methods: We identified 24 patients who had undergone LISS plating at our
institution and collected data that included patient demographics, injuries patterns,
operative details and complications. We also used the Charlston comorbidity index
to classify our patients according to prognostic comorbidities and a modification of
the Parker mobility score to assess the preoperative and postoperative mobility.
Results: There were 19 females and 5 males. The average age was 85 years(+/-6
years). The average Charlston comorbidity index was 6 (5.00-6.75). 66% were from
their own home while the rest came from nursing and residential homes. The
average mobility score was 4 (2.25-8.25) preoperatively. Anaesthetic time was an
average of 118 minutes. Mean HB drop was 2.1g/dL. 8 patients required a
postoperative blood transfusion. Total length of in-patient stay was 22 days(+/- 14).
66% required rehabilitation with the average rehabilitation duration being 53 days.
Average time to full weight bearing was 96 days with the average radiological union
duration being 148 days. 40% had no complications, 28% had knee pain and 4 out
of 24 patients had serious complications including infection, metalwork failure, nonunion
and death. 70% were able to go back to their premorbid mobility
status.Conclusions: LISS plating is a viable and successful method of treating distal
femoral fractures in the elderly, preserving mobility in the majority of patients.
527