Evaluation of the Zickel supracondylar fixation device

The Zickel supracondylar fixation device is an excellent means of treating distal femoral fractures when compared with historic controls. An overall satisfactory rating of 88% was obtained using the Zickel device. There were no delayed unions in primary fracture treatment (mean union rate, 10 weeks). Complications were minimal, with no deaths or deep wound infections. Functional and anatomic results were excellent, particularly with respect to knee motion. The system is relatively inexpensive, requires minimal instrumentation, and is technically simple. The disadvantages with use of the device are few. As compared with the AO technique, the results are nonanatomic, with an average shortening of 1 cm. Secondary procedures, while minor, were frequently performed (50%). Pain over the device in the knee area was a common complaint. Closed conservative treatment of distal femoral fractures will always be a highly acceptable treatment modality, with good end-results. The Zickel supracondylar fixation device offers orthopedic surgeons many advantages and should be included in their armamentarium.