Evidence map›Paper›PMID 35098693›Full record

ArticleOrthopaedic surgery2022

Locking Plate Alone or in Combination with Cannulated Screws for Hoffa Fractures: A Retrospective Study.

Zhen Li, Zhenyue Chen, Xiaotan Wang, Jingyin Li, Lizhong Jing, Zehui Li, Xuewei Cao

Open access · goldAbstract read
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Article in Orthopaedic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Zhen LiThe Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhenyue ChenThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Xiaotan WangThe First Clinical School, Shandong University of Traditional Chinese Medicine, Jinan, China.
Jingyin LiDepartment of Orthopaedics, the First Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Lizhong JingDepartment of Orthopaedics, the First Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, China.
Zehui LiDepartment of Orthopaedic Surgery, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China.
Xuewei CaoDepartment of Orthopaedic Surgery, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, China.ORCID https://orcid.org/0000-0001-7527-6755
Guangzhou University of Chinese Medicine · CNShandong University of Traditional Chinese Medicine · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CN

Funding

Discipline Promotion Plan of Guangzhou University of Chinese Medicine A3-0402-20-415-051Traditional Chinese Medicine Talent Training Project of Guangdong Provincial Bureau of Traditional Chinese Medicine 0103030908
6 · The paper itself

Abstract

objectiveTo determine the efficacy of distal femur condyle locking plate (DFCLP) alone or in combination with cannulated screws for Hoffa fractures.

methodsIn this study, between May 2014 and February 2019, 13 patients between 26 and 64 years with isolated Hoffa fractures were enrolled during the study period and retrospectively analyzed. All patients underwent open reduction and internal fixation by DFCLP alone or in combination with cannulated screws followed by early active rehabilitation postoperatively. The primary outcome was evaluated using range of movement (ROM), Knee Society Score (KSS), International Knee Documentation Committee (IKDC) scoring system, and the fracture healing time of the patients during the 24-month follow-up period. Postoperative complications were also used to assess the patients' conditions.

resultsA total of 13 patients completed the 24-month follow-up assessment and achieved bone re-union at Hoffa fracture sites. The average follow-up period was 24.5 months (ranging from 24 to 28 months). Six patients were treated by DFCLP in combination with cannulated screws and the remaining seven patients were treated by DFCLP alone. The mean ROM was determined as 119° (ranging from 100° to 130°). The mean KSS score was 87.9 (ranging from 80 to 92 points), with 11 patients evaluated as excellent, two as good, and zero bad cases. The mean IKDC score was 84.2 (ranging from 74.7 to 89.7 points), with 10 evaluated as excellent, three as good, and zero bad cases. The mean IKDC score was 83.3 for patients with medial Hoffa fractures and 84.4 for those with lateral Hoffa fractures. The average time to healing was 3.5 months (ranging from 3 to 4 months), and at month 3, the fracture healing was evident in seven patients (54%), and at month 4, fracture healing was seen in six patients (46%). It is worth mentioning that two patients suffered from knee joint stiffness and osteoarthritis during the 24 months follow-up. Eleven patients (84.6%) achieved satisfactory knee joint function through early postoperative rehabilitation.

conclusionIn patients with Hoffa fractures, treatment with DFCLP alone or in combination with cannulated screws followed by early active rehabilitation resulted in great stability and satisfactory functional outcomes after 24 months. Our findings may provide surgeons with a new way to treat Hoffa fractures.

Indexed as

Bone ScrewsFemoral FracturesBone PlatesFracture Fixation, InternalHumansRetrospective StudiesTreatment Outcomecannulated screwsearly rehabilitationHoffa fractureslocking plate

Identifiers

PMID35098693
PMCPMC8926976
OpenAlexW4210470855

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.