Indirect reduction and bridge plating of supracondylar XXXX of the femur.

@entity1 @entity174 @entity4422 @entity281 @entity9256 @entity446 @entity3330
Between October 1995 and December 1998, 16 @entity1 with A-O type A3, C2 or C3 supracondylar femoral @entity174 were treated by open reduction and internal fixation using indirect reduction and bridge plating. Seven (44%) @entity1 had @entity4422 . The @entity1 were followed for a mean of 46 months (range 24-71). All @entity174 healed. The average time for @entity174 @entity446 was 18.5 weeks (range 12-28). Four primary bone grafts and three secondary bone grafts were performed. By using the modified Schatzker rating scale, the result of 13 @entity1 (81%) were rated as excellent or good. Complications included two implant failures that were due to full weight bearing before bone @entity446 , and one superficial delayed wound @entity446 . No deep @entity281 were found in this series. The open @entity174 group needed longer time to heal and had a higher rate of receiving bone grafts. We conclude that indirect reduction and bridge plating with a 95 degrees dynamic condylar screw (DCS) or condylar blade plate can produce favourable results for @entity3330 . We suggest primary bone grafts or early secondary bone grafts for @entity9256 using an indirect reduction technique.
