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Year : 2017  |  Volume : 30  |  Issue : 2  |  Page : 434-441

Treatment of distal femoral fractures in adults using the less invasive stabilization system

Department of Orthopedic Surgery, Faculty of Medicine, Menoufia University, Tala, Egypt

Correspondence Address:
Abd El-Hamid S Abd El-Hamid Rageh
Department of Orthopedic Surgery, Faculty of Medicine, Menoufia University, El-Horreya Street, Tala, Menoufia, 32611
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.215473

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Objective The aim of this studywas to assess clinical outcomes and complications in 20 adult patients with distal femoral fractures treated with the less invasive stabilization system(LISS). Background LISS distal femur has been the treatment of choice for distal femoral fractures when operative treatment is needed. However, LISS of comminuted distal femoral fracture is a challenging operation, which requires surgical experience and meticulous attention to soft tissue. The LISS is an emerging procedure for the treatment of distal femoral fractures. It preserves soft tissue and the periosteal circulation, which promotes fracture healing. Patients and methods This prospective study included 20 adult patients between 45 and 72years of age(mean age: 58.45years) suffering from fractures of the distal femur who were treated with the LISS at El-Menoufiya University Hospital from September 2014 to September 2015. Among the patients, eight were male and 12 were female. Results The patients were followed up for a mean of 5.6months, ranging from 4 to 6months. Radiographically, all fractures except two healed in good alignment. Solid union took place from 8 to 14weeks, with a mean of 12weeks. There were no intraoperative complications, including neurologic or vascular injury, and two patients developed superficial wound infection postoperatively. Conclusion It was found that the LISS is an adequate technique for the treatment of distal femoral fractures in adult patients when surgical stabilization is indicated. This simple minimally invasive technique provides stable fixation, with minimal blood loss, minimal soft tissue stripping at the fracture site, and bone union in most of the studied cases.

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