Our Experiences in the Treatment of Supracondylar Fractures of the Femur.
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Eighteen supracondylar fractures of the femur in sixteen patients have been treated at out hospital since 1982. These fractures were divided into the following groups according to Sunami's classification IIA (1 fracture), IIB (1 fracture), III (4 fractures), IVA (2 fractures) and IVB(10 fractures). The average follow-up period was four years and two months.Clinical results were evaluated using Neer's criteria with excellent and satisfactory results obtained in 83.3%.Male patients were younger than females and the results were good irrespective of the fracture type. Ender's intramedullary nailing was indicated for supracondylar fractures because it keeps the surrounding soft tissue intact.Factors which were associated with unsatisfactory results were elderly osteoporotic conditions (particularly female patients), severe complications, and delay in ROM exercises.
- 西日本整形・災害外科学会の論文
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