A study of management of distal femoral fractures with intramedullary supracondylar nail
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction With modern day epidemic of automobile accidents escalating fractures of distal end of femur will continue to be oft encountered by present day orthopedic surgeon Considering the complex articular Anatomy of knee and close proximity to major structures management of these fractures still poses challenge to operating surgeon The present study undertaken taken to study fractures of distal end of femur in respect to mechanism configuration and managementMaterials and Methods Thirty five patients of fractures of distal femur were selected for this study during the duration of two years Duration of follow up ranged from 3 months to 17 months All the patients were hospitalized and managed according to standard protocol which included preoperative evaluation a period of non weight bearing mobilization of knee discharge from hospital after suture removal and regular follow up on outpatient basisResults Male patients 7429 were more than female 2571 in the present study Right side was predominant One patient was having bilateral distal femoral fracture Grade I fracture 1111 is most common type found in the present study According to Mullers classification most common type found to be A1 40 followed by C2 286 In the present majority of cases outcome shows Good 514 followed by Excellent 229 Fair 143 and Poor 114Conclusion It is stable fixation and allows Postoperatively patient motivation and aggressive physiotherapy with continuous passive motion if necessary is necessary to prevent knee stiffnessKeywords Distal femoral fractures Mullers classification Intramedullary Supracondylar nail Knee stiffness
Authors and Affiliations
Milind M Joshi, Shriniwas Yemul
Keywords
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- EP ID EP476694
- DOI 10.18231/2395-1362.2018.0070
- Views 71
- Downloads 0
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