Severity of Complications after Locking Plate Osteosynthesis in Distal Femur Fractures
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Description
Background: Locked plating for distal femur fractures is widely recommended and used. We systematically reviewed clinical studies assessing the benefits and harms of fracture fixation with locked plates in AO/OTA Type 32 and 33 femur fractures. Methods: A comprehensive literature search of PubMed, Embase, Cinahl, Web of Science, and the Cochrane Database was performed. The studies included randomized and non-randomized clinical trials, observational studies, and case series involving patients with distal femur fractures. Studies of other fracture patterns, studies conducted on children, pathological fractures, cadaveric studies, animal models, and those with non-clinical study designs were excluded. Results: 53 studies with 1788 patients were found to satisfy the inclusion and exclusion criteria. The most common harms were nonunion (14.8%), malunion (13%), fixation failure (5.3%), infection (3.7%), and symptomatic implant (3.1%). Time to full weight-bearing ranged from 5 to 24 weeks, averaging 12.3 weeks. The average duration of follow-up was 18.18 months, ranging from 0.5 to 108 months. Surgical time ranged between 40 and 540 min, with an average of 141 min. The length of stay in days was 12.7, ranging from 1 to 61. The average plate length was ten holes, ranging from 5 to 20 holes. Conclusion: This review aimed to systematically synthesize the available evidence on the risk associated with locked plating osteosynthesis in distal femur fractures. Nonunion is the most common harm and is the primary cause of reoperation. The overall combined risk of a major and critical complication (i.e., requiring reoperation) is approximately 20%.
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ID Code: | 247508 | ||||||||
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Item Type: | Contribution to Journal (Review article) | ||||||||
Refereed: | Yes | ||||||||
ORCID iD: |
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Measurements or Duration: | 13 pages | ||||||||
Keywords: | distal femoral fractures, locking plate, plate fixation, risk estimation | ||||||||
DOI: | 10.3390/jcm13051492 | ||||||||
ISSN: | 2077-0383 | ||||||||
Pure ID: | 165477255 | ||||||||
Divisions: | Current > Research Centres > Centre for Data Science Current > Research Centres > Centre for Biomedical Technologies Current > Research Centres > Centre for Healthcare Transformation Current > Research Centres > Australian Centre for Health Services Innovation Current > QUT Faculties and Divisions > Faculty of Science Current > Schools > School of Mathematical Sciences Current > QUT Faculties and Divisions > Faculty of Engineering Current > Schools > School of Mechanical, Medical & Process Engineering Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Clinical Sciences |
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Copyright Owner: | 2024 The Authors | ||||||||
Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||||||||
Deposited On: | 25 Mar 2024 23:29 | ||||||||
Last Modified: | 06 Aug 2024 21:52 |
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