Management of distal femur fractures with distal femur locking plate by MIPPO technique
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Distal femur fractures are a challenge to orthopaedic surgeons as full restoration of function is problematic and demands technical expertise. Rigid fixation, maintaining the alignment and length of the femur and early mobilisation is required to achieve good results. The study was conducted to know the outcome after fixation by distal femur locking plate by MIPPO technique. Materials and methods: A prospective study of 20 cases of distal femur fracture operated with distal femur locking plate using MIPPO technique was conducted at MVJMC & RH from June 2012 to June 2016. Patient followed up at 2, 4, 6 weeks and 3, 6, 9 months and has evaluated for fracture union, knee ROM and Knee Society Score at 6 months. Results: Total number of 20 patients with distal femur fracture was managed with distal femur locking compression plate by MIPPO technique. In all 20 patients fracture united with mean duration of 14.5 weeks. There were no cases of non-union. Mean Knee Range of Movements at 6 months was 1100 flexion and extension limitation of 100.Mean Knee Score was 87.6 and Mean Functional Score was 78. There were no cases of implant loosening or breakage. 1 case of superficial infection, no deep infection noted. Conclusion: With MIPPO technique using distal femur locking plate for distal femur fractures gives good results with rigid fixation, excellent union rates, good functional outcome and minimal complications
Authors and Affiliations
Dr. Sujai S, Dr. Ravi Kumar, Dr. Shameez Muhammed Salim, Dr. Mohd Junied, Dr. Siddalinga Swamy, Dr. HC Nanjundappa
Posterior plating of tibial shaft fractures: A functional outcome analysis
Tibial shaft fractures are the most common of long bone fractures. Tibial fractures are usually the result of trauma, both high energy and low energy. Increasing energy of injury leads on to both bone and soft tissue com...
Functional evaluation of fixation for PCL bony avulsion fractures using Burk and Schaffer’s approach
Background: Posterior cruciate ligament (PCL) is the chief posterior stabilizer of the knee In literature, surgical indications for PCL injuries treatment remains debatable, but in PCL bony avulsion, surgical reinsertion...
Management of idiopathic clubfoot by Ponseti’s technique
Background and objective: Idiopathic Congenital Talipes Equinovarus (CTEV) is a complex deformity that is difficult to correct. The treatment of clubfoot is controversial and continues to be one of the biggest challenges...
Dervan rim sign new, simple radiological sign for unique Indian medial femoral condylar osteoarthritis
Introduction: OA knee is most common form of arthritis in Asian population. The medial compartment of knee is most commonly involved. Most X-ray studies have been from the Western Caucasian patients with different geneti...
A prospective randomized pilot study of steroid modulation of cytokine (Interleukin 6) release in unilateral total knee replacement surgeries
Several studies evaluating the patients undergoing joint replacement have found elevation in the levels of cytokine interleukin-6(IL-6). High level of IL-6 after the major surgeries have been linked to postoperative feve...