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[Bicondylar fractures].

H Seiler1, O Trentz

  • 1Abteilung Unfallchirurgie, Chirurgische Universitätsklinik Homburg/Saar.

Der Orthopade
|June 1, 1988
PubMed
Summary

Operative treatment for bicondylar fractures yielded excellent results in 38% of patients. Complications were frequent, impacting outcomes, especially with comminution and soft tissue damage.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Bicondylar fractures are complex injuries affecting the knee joint.
  • Outcomes and complications of operative treatment require further investigation.

Purpose of the Study:

  • To evaluate the late results of operative treatment for bicondylar fractures.
  • To identify factors influencing prognosis and complications.

Main Methods:

  • Retrospective analysis of 59 patients with bicondylar fractures treated operatively.
  • Assessment of functional outcomes, complications, and fracture patterns (Y-, T-types, comminution).

Main Results:

  • Excellent results were achieved in 38% of cases; 35% had fair or poor outcomes.
  • Comminution and soft tissue lesions were frequent (50.7%) and associated with poorer prognosis.
  • Complications occurred in 25% of patients, including deep infection, nonunion, and nerve palsy.

Conclusions:

  • Operative treatment for bicondylar fractures has variable outcomes, with significant complication rates.
  • Factors like comminution, soft tissue injury, advanced age, and poor bone stock negatively impact prognosis.
  • Nonoperative or less invasive options may be considered in specific patient groups.

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