Modified Anterolateral Approach of Treatment of Type C Distal Femoral Fractures

Yang Guangxu; Liu Qisheng

Abstract：Objective To explore the effect of new anterolateral approach of distal femur in treatment of type C distal fem-oral fractures. Methods 64 cases of patients with type C distal femoral fractures in our hospital between Jan. 2012 to Jan. 2014 were selected. 32 patients received the new anterolateral approach of distal femur combined with fixation of condylar but-tress plate(modified group),and 32 patients underwent traditional anterolateral approach combined with fixation of condylar buttress plate(conventional group). The clinical data of two group was compared. Results The average operation time,intrao-perative blood loss and intraoperative X-ray times of modified group were significantly lower than those of conventional group(P﹤ 0. 05);there were no significant differences in average hospital stay and fracture healing time of two groups. The HSS scores of modified group were significantly higher than those of conventional group after the operations(P ﹤ 0. 05). There was no sig-nificant difference of two groups in complication rate(P ﹥ 0. 05). The excellent rate of modified group was significantly higher than that of conventional group(P ﹤ 0. 05). Conclusion The effect of new anterolateral approach of distal femur of treatment of type C distal femoral fractures is better than traditional operative approach. It is worth of clinical promotion.