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Early Results with the PERI-LOC Plate for Distal Femoral and Proximal Tibial Fractures

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Author(s): Khan AD, Casserly HB.

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 7;
Issue: 2;
Date: 2010;
Original page

Keywords: Distal Femoral Fractures | Proximal Tibial Fractures | Less invasive stabilisation system (LISS) | PERI-Loc plates | Minimal invasive surgery | internal fixation.

ABSTRACT
Purpose: To report our early experience with PERI-LOC plate fixation for Distal Femoral and Proximal Tibial Fractures. The study reports on (1) the time to callus formation and radiographic union (2) range of knee motion, (3) the complications and (4) the comparison with early results of LISS plate fixation.Methods: We retrospectively reviewed the results with PERII-LOC plate (Smith & Nephew Inc) for 11 distal femoral (all closed) and 4 proximal tibial fractures (1 open) between January 2006 and May 2009. The mean follow up was 11 months (Range 6 – 22 months). Results: In Distal Femoral Fractures, the time to callus formation was 6.5 weeks (Range 5 – 11) and radiographic union 14 weeks (Range 10 – 22 months). The range of motion (knee) was 110 degrees (Range 65 – 135) and the loss of extension 10 degrees (Range 0 – 15). Two minor complications, one plate irritation, one superficial wound ooze was observed. In Proximal Tibial Fractures, the average time to callus formation was 6 weeks ( Range 5 – 7 ) and to radiographic union 12 weeks( Range 11 -13 ). The average range of motion (knee) was 115degrees (Range 105 - 125) and the average lack of extension was 10 degrees (Range 5 – 15). There were 2 complications, both plate irritations. Conclusion: Our study shows that the early results with the PERI-LOC plate for distal femoral and proximal tibial fractures are comparable to that of the LISS plate. We feel that further studies are needed to prove the long term role of the PERI-LOC plates.
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