Document Detail

Minimal-invasive treatment of distal femoral fractures with the LISS (Less Invasive Stabilization System): a prospective study of 30 fractures with a follow up of 20 months.
MedLine Citation:
PMID:  15022808     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There is no consensus on the best treatment of distal femoral fractures. PATIENTS AND METHODS: In a prospective study, we treated 29 patients with 30 distal femoral fractures with the Less Invasive Stabilization System (LISS) from 1997 to 2000. Almost 1/2 of them had open fractures, 1/3 extraarticular type A and 2/3 articular fractures type C (AO classification) and these had been caused by high-energy trauma with concomitant severe injuries or osteoporosis. RESULTS: The follow-up examinations after mean 20 (13-42) months consisted of radiographs, and determination of the Lysholm Knee Score and Knee Society Score (KSS). The outcome correlated with the severity of the fracture, anatomic reduction, exact positioning and fixation of the LISS and concomitant injuries. INTERPRETATION: We found the LISS for treatment of distal femoral fractures of all types to be a safe procedure with good results after careful planning and experience with this surgical technique. There is usually no need for primary cancellous bone grafting.
Florian Fankhauser; Gerald Gruber; Gert Schippinger; Christian Boldin; Herwig P Hofer; Wolfgang Grechenig; Rudolf Szyszkowitz
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  75     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-16     Completed Date:  2004-04-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  56-60     Citation Subset:  IM    
Department for Traumatology, Medical School of Graz, Austria.
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MeSH Terms
Aged, 80 and over
Bone Plates*
Femoral Fractures / radiography,  surgery*
Follow-Up Studies
Fracture Fixation, Internal / instrumentation*,  methods*
Fracture Healing
Internal Fixators*
Middle Aged
Prospective Studies
Surgical Procedures, Minimally Invasive / instrumentation,  methods
Time Factors
Treatment Outcome

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