{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:22:00Z","timestamp":1782602520367,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,5,9]],"date-time":"2013-05-09T00:00:00Z","timestamp":1368057600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Treatment of distal femoral fracture in post\u2010polio patients is difficult because the bone is usually osteopenic, small and deformed. This retrospective study aimed to investigate the outcomes of distal femoral fracture in post\u2010polio patients treated by locking compression plates (<jats:styled-content style=\"fixed-case\">LCP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of 19 post\u2010polio patients (mean age 49 years at time of surgery) were reviewed and intraoperative data retrieved. Fracture union and callus formation were evaluated on radiographs taken at each postoperative visit. Functional outcome assessments included range of motion and <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital for <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>pecial <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>urgery (<jats:styled-content style=\"fixed-case\">HSS<\/jats:styled-content>) score of the ipsilateral knee joint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen femoral fractures occurred in the poliomyelitis\u2010affected limbs. The mean duration of operation was 86\u2009min and mean blood loss 120\u2009mL. All fractures healed (mean, four months) but union was delayed in one. At the final follow\u2010up 2 yrs after surgery, the mean range of knee flexion was 105\u00b0 (range, 90\u00b0\u2013130\u00b0), and mean <jats:styled-content style=\"fixed-case\">HSS<\/jats:styled-content> score 76 points (range, 60\u201393). There were no cases of nonunion, implant cutout, or other complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">LCP<\/jats:styled-content> provides stable fixation of distal femoral fractures in post\u2010polio patients. Bony union and good functional outcomes are achieved, but delayed union and minimal callus may occur.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12035","type":"journal-article","created":{"date-parts":[[2013,5,9]],"date-time":"2013-05-09T10:30:21Z","timestamp":1368095421000},"page":"118-123","source":"Crossref","is-referenced-by-count":15,"title":["Distal Femoral Fractures in Post\u2010poliomyelitis Patients Treated with Locking Compression Plates"],"prefix":"10.1111","volume":"5","author":[{"given":"Wei\u2010jun","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Affiliated Drum Tower Hospital of Nanjing University Medical School  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong\u2010fei","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Affiliated Drum Tower Hospital of Nanjing University Medical School  Nanjing 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