A study of long term functional outcome of surgical management of distal femur fractures in adults using locking compression plate in Indian rural set up
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Objective: To study and analyze the effectiveness of the surgery of the distal femur fractures using Locking Compression Plate based on fracture union, complications, recovery, return to work and overall functional outcome using Neer’s criteria. Introduction: Due to rapid industrialization and growth of the automobile industry, there is increase in the road traffic accidents. Most of the high velocity injuries are associated with fractures occurring at the distal end of the femur. In view of these potential complications and complexity of the injuries at the distal end of femur, many surgeons agree that large numbers of distal femur fractures are to be managed surgically for better functional outcome and lesser complications. • Internal fixation by using Locking Compression Plates (LCP) is one of the commonly performed surgeries for injuries around the knee because it gives better results in terms of recovery, fracture union, return to work and overall functional outcome • LCP is a single beam construct where its strength of fixation is equal to sum of all screw-bone interfaces. Its biomechanics works on splinting rather than compression giving a flexible stabilization. furthermore, when applied via a minimally invasive technique, provides prompt healing and less bone resorption due to better preservation of blood supply • This study will be helpful in understanding and analyzing the benefits and disadvantages of treating the fractures of the distal end of the femur in adults using Locking Compression Plate and functional outcomes of the surgical procedures Methodology: A group of 40 distal femur fracture patients, treated with open reduction and internal fixation using Locking Compression Plate (LCP) between Feb 2015 to August 2016. Results: Out of 40 patients excellent results seen in 23 patients (57.5%), good results seen in 10 patients (25%), fair results seen in 3 patients (7.5%), and poor results seen in 4 patients (10%) using Neer’s scoring system
Authors and Affiliations
Dr. K Harsha Vikram, Dr. Kadimi Haranadh, Dr. Guru Prasad Sultanpurkar, Dr. Harshavardhan Raorane
Keywords
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- EP ID EP480917
- DOI 10.22271/ortho.2017.v3.i4b.14
- Views 138
- Downloads 0
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