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대퇴골 원위부 골절 노인 환자에서 잠김 금속판 고정술 어떻게 합병증을 피할 것인가

Locked Plating in Elderly Patients with Distal Femur Fracture: How to Avoid Complications?

대한골절학회지 2019년 32권 2호 p.112 ~ 119
장철영, 유제현,
소속 상세정보
장철영 ( Jang Chul-Young ) - 한림대학교 성심병원 정형외과
유제현 ( Yoo Je-Hyun ) - 한림대학교 성심병원 정형외과

Abstract


Distal femur fractures in elderly patients with osteoporosis are complicated because poor bone quality makes screw purchase and fixation less secure, presenting many clinical challenges to the orthopedic surgeon. Minimally invasive locked plating using an angularly stable locking compression plate has become an integral tool for achieving secure fixation in osteoporotic distal femur fractures with improved biomechanical performance. On the other hand, complications, such as implant failure and periplate fracture, have still occurred. This paper describes the principles of internal fixation in minimally invasive lateral locked plating in elderly patients with osteoporotic distal femur fractures as well as how to avoid complications.

키워드

Distal femur; Osteoporotic fracture; Lateral locked plating; Complications

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