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One-stage Versus Two-stage Reduction of Malunited Femoral Fracture with Shortening

Sulaiman A.R., and Eskandar H, , and Faisham W.I., (2007) One-stage Versus Two-stage Reduction of Malunited Femoral Fracture with Shortening. Malaysian Orthopaedic Journal , 1 (1). pp. 18-21. ISSN 1985 2533

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Official URL: http://www.morthoj.org/2007v1n1/reduction_malunited.pdf

Affiliations

Universiti Sains Malaysia, School of Medical Sciences, Dept. of Orthopaedics
Universiti Sains Malaysia, School of Medical Sciences, Dept. of Orthopaedics
Universiti Sains Malaysia, School of Medical Sciences, Dept. of Orthopaedics

Abstract

Reduction of a malunited femoral diaphyseal fracture can be
achieved by osteotomy and immediate internal fixation or gradual skeletal traction followed by delayed internal fixation. We retrospectively reviewed 27 patients with malunited and shortened femur. Nine patients with mean shortening of 4.7 cm (2.5-10.0) underwent acute one-stage reduction and gained 2.5 to 5.0 cm length. Eighteen patients with mean shortening of 5.3 cm (3.5 to 9.0) underwent twostage reduction and gained 2.0 to 5.0 cm length. There was no paralysis in either group. No infection occurred in the one-stage procedure. Intramedullary fixation demonstrated superior results compares to plate fixation.

Item Type:Journal
Keywords:Femur, mal-union, Limb length discrepancy, Acute reduction
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:7333

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