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  • Title: [5-year results of dia-/supracondylar femoral fractures, managed with the dynamic condylar screw].
    Author: Ketterl R, Köstler W, Wittwer W, Stübinger B.
    Journal: Zentralbl Chir; 1997; 122(11):1033-9. PubMed ID: 9480597.
    Abstract:
    In 118 patients with intra- and extraarticular distal femoral fractures we used open reduction and internal fixation with a dynamic condylar screw. We recorded general implant related complications in a very low percentage of patients. In evaluation of the long-term results in eighty one patients after follow-up of more than five years we found occasional pain in eighteen patients and frequent pain in two patients. 70% of the patients presented with free range of motion in knee joint. Only five patients had a clinically important malunion of greater than five degrees. We found malrotation of greater than ten degrees in four patients. 90% of patients were found to have a stable knee joint. The functional result according to Neer was excellent in more then 50 percent and satisfying in 40 percent of the patients. Only in 5 patients the result was determined as unsatisfying or as a failure. No arthrotic changes were found in the femoro-patellar and femoro-tibial joint in about 75 percent of the cases. Grade 2 changes were found in 15 percent in the femoro-patellar joint and in 18 percent in the femoro-tibial joint. Grade 3 arthrotic changes were seen even in less than 10 percent in both parts of the knee joint.
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