Related factors of revision of distal femoral fractures treated with lateral locking plate

• Published in: Beijing da xue xue bao. Journal of Peking University. Yi xue ban Vol. 54; no. 6; pp. 1172 - 1177
• Main Authors: Hou, G J, Zhou, F, Tian, Y, Ji, H Q, Zhang, Z S, Guo, Y, Lv, Y, Yang, Z W
• Format: Journal Article
• Language: Chinese
• Published: China 18-12-2022
• Subjects: Bone Plates - adverse effects; Femoral Fractures - etiology; Femoral Fractures - surgery; Femoral Fractures, Distal; Fracture Fixation, Internal - adverse effects; Humans; Retrospective Studies; Treatment Outcome; Locking plate; Predictive factors; Revision; Distal femoral fracture; Lateral
• ISSN: 1671-167X
• DOI: 10.19723/j.issn.1671-167X.2022.06.019

To analyze the factors related to the need for revision surgery due to nonunion or internal fixation failure after the treatment of distal femoral fracture with lateral locking plate (LLP).
Retrospective analysis was made of the clinical data of 130 cases with distal femoral fracture treated in our hospital from March 2005 to March 2019. SPSS 17.0 software (univariate analysis and Logistic regression analysis) was used to analyze the general condition [gender, age, body mass index (BMI), comorbidities, smoking history], injury related factors (energy of injury, open or closed injury, AO/OTA classification of fracture, fracture area distribution), operation related factors (operation time, reduction quality, postoperative infection) and construct characteristics of internal fixation.
Twelve of 130 patients who were included in the study underwent revisional surgery, with a revision rate 9.2%. Univariate analysis showed that there were significant differences in age, BMI, AO/OTA classification, fracture area di