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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2012 October;63(5):319-24
Comparison of results of intramedullary nailing and plating, in closed extra-articular floating knee fractures
Bagheri F. 1, Sharifi S. R. 1, Peyvandi M. T. 1, Hootkani A. 1, Afzali J. 1, Sabaghan S. 2
1 Department of Orthopedic Surgery, Mashad University of Medical Sciences, Mashad, Iran;
2 Private Practician, Orthopedic Surgeon, Mashad, Iran
Aim. The aim was to evaluate and compare the results and complications of the two methods of intramedullary nailing (IMN) and dynamic compression plating (DCP) in closed extra-articular fractures of femur and tibia.
Methods. In this randomized control trials in Imam Reza and Kamiab hospitals of Mashhad, on 44 patients with extra articular floating knee (38 male and 6 female), 28 patient treated with IMN and 16 patient were treated with DCP. Complications of two procedures were compared with the data of questionnaire that completed for each patient. All patients were followed-up for 6 month. Type of surgery, operation description, physical examination, complications such as fat embolism, deep vein thrombosis, infection, delayed union, non-union, mal-union, and duration before getting returning to previous performance were compared.
Results. According to the criteria by Karlstrom and Olerud, the results were excellent in eighteen patients (11 patients in IMN group and 7 patients in DCP group), good in twelve patients (7 patients in IMN group and 5 patients in DCP group), fair in nine patients (7 patients in IMN group and 2 patients in DCP group), and poor in five patient 3 patients in IMN group and 2 patients in DCP group).
Conclusion. Patients with DCP repair has less complication than I.M nailing after surgery and DCP patients are more likely to have exellent or good outcome. but results are not statistically significant. It is seems that DCP plan has comparable result for treating floating knee with I.M nailing.