TY  - BOOK
AU  - Mohamed Mahmoud Abouelfettouh Elfekky 
AU  - Ahmed Amin Galal , 
AU  - Ashraf Abdelkader Alnahal , 
AU  - Mohamed Omar Soliman , 
TI  - Evaluation of periprosthetic fractures of the distal femur after total knee arthroplasty treated by lateral locked plate / 
PY  - 2015///
CY  - Cairo : 
PB  - Mohamed Mahmoud Abouelfettouh Elfekky  , 
KW  - APC
KW  - CRP
KW  - VA-LCP
N1  - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery; Issued also as CD
N2  - In our study the mean and range of pre-fracture knee society score was more than the after healing score and this difference was statistically significant.Our results showed fracture healing in 28 patients (93.4%). the healing time range was from 10 -17 week with mean of 13.7week. We had one case of implant failure managed using distal femoral replacement and non union after 7 month managed using also distal femoral replacement We had two cases of superficial wound infection treated by early debridement and lavage and both cases passed the infection and healed without residual infection and returned to base line ESR and CRP Point of weakness in our study was small volume, but this was due to the low incidence of these fractures, this low volume of patients rendered getting statistical significance a hard job in this study. Also we couldn{u2019}t asses accurately the rotational malalignement as these needed follow-up CT which was difficult to do routinely in the follow-up visits. We found a relation between older patients and delayed weight bearing and lower knee society scores this gets to our minds that doing distal femoral replacement in these aged group is a better option to return them back to their pre-fracture activity
ER  -