OBJECTIVES: We evaluated the effectiveness of indirect plating, which is accepted as a biological fixation, in intraarticular comminuted supracondylar @entity3330 . METHODS: Six @entity1 (4 males, 2 females; mean age 35 years; range 14 to 54 years) had distal @entity3330 of Muller type 33.C2 (n=3) and 33.C3 (n=3). There were three closed and three open @entity174 ; of open @entity174 , two were type II and one was type III according to the Gustilo-Anderson classification. @entity7334 were reconstructed directly through a lateral parapatellar incision, while supracondylar @entity174 were indirectly reduced without surgical exposure of the @entity174 site. The distal anatomically reconstructed @entity616 was fixed to the femoral shaft by a plate inserted retrogradely beneath the vastus lateralis muscle, followed by plate fixation to the femoral shaft by cortical screws sent percutaneously through stab incisions or transmuscularly through limited proximal incisions. The mean follow-up was 25 months (range 12 to 40 months). RESULTS: The average time until union was 15 weeks (range 12 to 20 weeks). No refractures, implant failures, or @entity281 were encountered. Two @entity1 had restricted knee movements (25% to 50%), three had @entity3656 (1 to 2.5 cm), and one @entity1 had a @entity85 . According to the Johner and Wruhs criteria, the results were as follows: excellent in one @entity1 , good in one @entity1 , satisfactory in two, and poor in two @entity1 . All @entity1 returned to preinjury activity levels. CONCLUSION: Biological plate fixation is effective and may be considered an alternative to other conventional surgical methods in the treatment of distal intraarticular complex supracondylar @entity3330 .

[Treatment of intraarticular comminuted supracondylar XXXX by indirect plate osteosynthesis].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3656 :: ('MESH:D007870', 'Disease') :: ['leg length discrepancy'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity7334 :: ('MESH:D057072', 'Disease') :: ['Intraarticular fractures'] @entity85 :: ('MESH:D009140', 'Disease') :: ['valgus deformity of 10 degrees'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['femoral fractures'] @entity616 :: ('MESH:D006327', 'Disease') :: ['articular block']
@entity3330 :: (MESH:D005264,Disease) :: ['femoral fractures']
