The Journal of Bone and Joint Surgery, Vol 64, Issue 6 864-870, Copyright © 1982 by Journal of Bone and Joint Surgery, Inc
Supracondylar-intercondylar fractures of the femur treated with a supracondylar plate and lag screw
JB Giles, JC DeLee, JD Heckman and JE Keever
Twenty-six patients ranging from nineteen to ninety-two years old underwent
rigid internal fixation of supracondylar-intercondylar fractures of the
distal end of the femur, using a supracondylar plate and lag screw to
achieve two-plane fixation. The congruity of the articular surface of the
knee was anatomically restored, as were the mechanical and anatomical axes
of the lower extremity. The time to clinical and roentgenographic union
averaged four months. There were no non-unions or postoperative infections.
The average postoperative range of motion of the knee was 120 degrees. The
average length of follow-up was twenty-one months. This series demonstrates
the advantages of stable internal fixation using a supracondylar plate and
lag screw over other types of fixation.