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Fankhauser, F; Gruber, G; Schippinger, G; Boldin, C; Hofer, HP; Grechenig, W; Szyszkowitz, R.
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.
ACTA ORTHOP SCAND. 2004; 75(1): 56-60. Doi: 10.1080/00016470410001708110 [OPEN ACCESS]
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Co-authors Med Uni Graz: Boldin Christian; Grechenig Wolfgang; Gruber Gerald; Hofer Herwig; Schippinger Gert
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Abstract:: 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.
Find related publications in this database (using NLM MeSH Indexing): Adolescent -; Adult -; Aged -; Aged, 80 and over -; Bone Plates -; Female -; Femoral Fractures - radiography; Follow-Up Studies - radiography; Fracture Fixation, Internal - instrumentation; Fracture Healing - instrumentation; Humans - instrumentation; Internal Fixators - instrumentation; Male - instrumentation; Middle Aged - instrumentation; Prospective Studies - instrumentation; Surgical Procedures, Minimally Invasive - instrumentation; Time Factors - instrumentation; Treatment Outcome - instrumentation