[The results of plate fixation with the use of biological fixation principles and minimally invasive technique in femur XXXX ].

@entity1 @entity3656 @entity174 @entity281 @entity717 @entity3330 @entity130
OBJECTIVES: We evaluated the clinical and radiologic results of @entity1 treated by the minimally invasive technique and plate fixation in accordance with biological fixation principles for @entity3330 . METHODS: Biological fixation principles were used in the treatment of 24 @entity1 (18 males, 6 females; mean age 32 years; range 18 to 56 years) with @entity3330 . @entity174 were reduced by indirect reduction and the plate was forwarded through distal and proximal incisions over the periosteum without the need for incisions on the @entity174 line. Fixation of the plates was performed with the use of screws from distal and proximal incisions. The @entity1 were allowed partial and full weight-bearing in a mean of 3.6 and 5 months, respectively. By means of monthly clinical and radiologic examinations, union was assessed by callus formation in the @entity174 line and painless weight-bearing. In addition, @entity3656 , @entity717 , and knee and hip range of motions were determined. The mean follow-up was 2 years and 7 months (range 16 months to 4 years and 5 months). RESULTS: The mean union time was 4.6 months (range 4 to 11 months). Except for one @entity1 (4%) with delayed union, all @entity1 achieved union. No @entity281 occurred related to the @entity174 site. CONCLUSION: Successful clinical and radiologic results can be obtained by biological methods of fixation in diaphyseal femur @entity174 with multiple fragments, segment formation, in multi- @entity130 @entity1 with high Injury Severity Score and compromised pulmonary function, and in those having subtrochanteric or supracondylar @entity174 associated with high complication rates.
