Abstract
Five elderly patients with femoral subcondylar fractures were treated with MIPO Methods (Minimully Invasive Plate Osteosynthesis) using the A. O. condylar buttress plate (4 cases), or the Mizuho N plate (1 case). The mean age at the time of the operation was 84.4 years (range 76 to 92 years). The follow-up period ranged from 12 to 25 months. Using the AO/ASIF classification, 5 fractures were classified as 1-A1, 2-A2, 2-A3, 1-C2.
The mean flexion was 2°-105°at final follow-up. The mean postoperative femora-tibial angle (FTA) was 177.2±2.1°, which changed to 176.5±2.7°at final follow-up. There were no cases of loss of angle to varus. The mean Neer score was 81.2 points, 4 cases were exellent, and 1 case was satisfactory.
Because the MIPO method uses indirect techniques, it gives better stability, which allows early ROM exercise, and has more acceptable alignment than anatomical reduction.
We are satisfied with the outcomes, and think that the MIPO method is an exellent procedure for reduction of femoral supracondylar fracture in the older patients.
