Medizinische Universität Graz - Research portal

Go directly to the nagivation.
Go directly to the content.

Navigation/Search

Selected Publication:

SHR Neuro Cancer Cardio Lipid Metab Microb

Hohenberger, GM; Schwarz, AM; Grechenig, P; Clement, B; Staresinic, M; Bakota, B.
Medial minimally invasive helical plate osteosynthesis of the distal femur - a new technique.
Injury. 2021; 52 Suppl 5:S27-S31 Doi: 10.1016/j.injury.2020.02.051
Web of Science PubMed FullText FullText_MUG

Leading authors Med Uni Graz: Hohenberger Gloria; Schwarz Angelika
Co-authors Med Uni Graz: Bakota Bore; Grechenig Peter Franz
Altmetrics:
Dimensions Citations:
Plum Analytics:
Scite (citation analytics):
Abstract:: INTRODUCTION: The goal of this study was to evaluate distal femoral minimally invasive plate osteosynthesis (MIPO) from a distal medial approach by use of a pre-bent helical implant. MATERIAL & METHODS: A total of 18 lower extremities was evaluated. A 29.6 cm steel plate was constructed and pre-bent on bone specimens with a torsion of 55.7° A 5 cm incision was performed from the tip of the medial epicondyle alongside its centre in a proximal direction. The medial border of the vastus medialis was retracted anteriorly. The level of the proximal skin incision was determined using the length of the pre-bent plates. The proximal incision was performed at a length of 4 cm at the described height at a line between the lateral epicondyle and the tip of the greater trochanter. A raspatory was advanced beneath the vastus medialis in a proximal direction to create an extraperiosteal tunnel for plate insertion. The plate was fixed to the bone at its proximal and distal portion via screws. Following dissection, the distance between the nearest perforator to the proximal plate end was evaluated. The vertical distances between the medial border of the plate and the femoral artery and femoral nerve were measured at the level of the proximal plate end and at the level of the proximal margin of the vastoadductor membrane. RESULTS: The most proximal perforating artery was located at a mean distance of 20.15 mm starting from the proximal plate margin. The mean interval between the medial border of the plate at the level of its proximal tip and the femoral artery was 51.9 mm. The average distance between the femoral nerve and the medial border of the proximal part of the plate was 42.3 mm. Regarding the interval between the medial border of the plate and the femoral artery, this was at a mean of 40.5 mm at the level of the proximal margin of the vastoadductor membrane. During dissection, none of the specimens showed any lesions of the adjacent anatomical characteristics. CONCLUSION: Our results indicate MIPO of the distal femur from a medial approach as a safe technique.
Find related publications in this database (using NLM MeSH Indexing): Bone Plates - administration & dosage; Femoral Artery - administration & dosage; Femur - surgery; Fracture Fixation, Internal - administration & dosage; Humans - administration & dosage; Minimally Invasive Surgical Procedures - administration & dosage
Find related publications in this database (Keywords): Distal femoral fracture; Femoral fracture; Femoral artery; Minimally invasive plate osteosynthesis