Outcomes of Treatment of Femoral Shaft Fracture by Minimally Invasive Plate Osteosynthesis in Phichit Hospital

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Date
2011-03-10
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Buddhachinaraj Medical Journal
Abstract
Although intramedullary nailing has standardized the management of femoral shaft fracture, but MIPO (minimallyinvasive plate osteosynthesis) is an alternative treatment in patient who intramedullary nailing is contraindicated.From June 2008 to June 2010, all patients with femoral shaft fractures who intramedullary nailing werecontraindicated and treated by MIPO using a locking compression plate (LCP) were reviewed. There were 20patients, MIPO were done by the author only. Twenty fractures (100%) healed without complication. The averagetime for full weight bearing was 10.80 weeks (range 6-12 weeks). The average time for stable three of fourcortices bridging callus (complete healing) was 21.60 weeks (range 16-24 weeks). There was no plate failure, nowound healing complications or infections. The results show that this technique is reproducible and effective forthe treatment of femoral shaft fractures when intramedullary nailing is contraindicated.
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Buddhachinaraj Medical Journal; Vol.27 (Supplement 1) May-Augst 2010; 303