39836
document
Bridge plate osteosynthesis using dynamic condylar screw ( DCS ) or retrograde intramedullary supracondylar nail ( RIMSN ) in the treatment of distal femoral fractures : comparison of two methods in a prospective randomized study . BACKGROUND The treatment of distal femoral fractures remains a significant surgical challenge . With the rigid fixation of the distal femoral fractures , bone grafting is frequently needed . Biological osteosynthesis using dynamic condylar screw ( DCS ) and retrograde intramedullary supracondylar nail ( RIMSN ) preserve the blood supply and limit the need for bone grafting . METHODS From September 2002 to December 2004 , 68 closed fractures of the distal femur were treated by bridge plate osteosynthesis using DCS in 31 and RIMSN in 37 . The patients were allocated to one of the two groups randomly and followed for 24-36 months ( average : 30 months ) . RESULTS With respect to operation time , the DCS group presented significantly better results than the RIMSN group ( p=0.000 ) . However , the blood loss was significantly more in the DCS group ( p=0.000 ) . There were no significant differences in terms of cumulative rate of union ( p=0.855 ) , range of motion of the knee ( p=0.727 ) , overall results ( p=0.925 ) and complications ( p=0.927 ) between the two groups . CONCLUSION No implant or surgical technique is superior to any other under all circumstances for distal femoral fracture . RIMSN is standard care , yet the biological osteosynthesis using DCS is a very good alternative for the treatment of distal femoral fractures .
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Intervention_Surgical
Bridge plate osteosynthesis
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Intervention_Surgical
dynamic condylar screw ( DCS )
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Intervention_Surgical
retrograde intramedullary supracondylar nail ( RIMSN )
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Intervention_Surgical
bridge plate osteosynthesis
39841
Intervention_Surgical
DCS
39842
Intervention_Surgical
RIMSN
39843
Outcome_Physical
blood loss
39844
Outcome_Other
cumulative rate of union
39845
Outcome_Physical
range of motion of the knee
39846
Outcome_Physical
overall results
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Outcome_Adverse-effects
complications
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Participant_Condition
distal femoral fractures
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Participant_Condition
distal femoral fractures
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Participant_Sample-size
68
39851
Participant_Condition
fractures of the distal femur
39852
Participant_Sample-size
31
39853
Participant_Sample-size
37
39854
Participant_Condition
distal femoral fractures