Operative management of fracture distal femur with locking compression plate
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Fractures distal femur are one of the commonest fractures encountered in high velocity trauma which are associated with high morbidity and mortality. Isolated fracture can itself lead to complications such as ARDS and pulmonary embolism. This necessitates early stabilization of fractures. Internal fixation is the choice of treatment in fractures distal femur and Locking Condylar plate. Plate has shown to give one of the best results in terms of recovery, fracture union, return to work and the functional outcome. Objectives: To study the functional results of fracture distal femur treated by open reduction and internal fixation with locking condylar plate. Methods: 20 cases of fracture distal end femur were treated by open reduction and internal fixation by Locking Compression Plate at our institution. The patients were evaluated clinically and radio logically for outcomes. All patients were followed up for an average of 12 months. Outcome was assessed using NEER’S Score. Results: In our study 20 distal femoral fractures were treated. All cases were fresh, 13 patients were males and 7 patients were females. The median age was 47years ranging from 28-70 years.15 of the fractures were caused by road traffic accidents and 3 were due to fall, 2 were due to assault. 12 patients were with fracture on right side and 8 on left side. Using Neer’s scoring system excellent is 65%, good is 15%, fair is 15% and poor is 5%. Range of motion of knee & Hip was excellent to very good. Gait and weight bearing after complete union was satisfactory. Conclusion: open reduction and internal fixation of lower end femur using locking condylar plate. It is one of the best modalities of treatment especially in intra articular fractures where the maintenance of articular congruity is crucial. Fixation with locking condylar plate showed more effectiveness in severely osteoporotic bones, shorter post-operative stay, faster recovery, earlier union rates and excellent functional outcome compared to alternative procedures in other studies.
Authors and Affiliations
Dr. Deepak Garg, Dr. Radhe Sham Garg
Keywords
Related Articles
- EP ID EP500531
- DOI 10.22271/ortho.2017.v3.i3m.133
- Views 115
- Downloads 0
Anterior cervical discectomy and fusion in patients with cervical disc disease- a clinical outcome study
Introduction: Cervical disc disease is a common and distressing problem. For patients who do not respond to conservative treatment, surgical treatment in the form of cervical discectomy and fusion (ACDF) is an option. AC...
A new geometrical method (BMCRI Method) for measuring cup anteversion after total hip replacement
Back ground: In total hip replacement the cup placement is critical. Orientation is determined by anteversion and abduction. We have devised a simple geometrical method to calculate anteversion using simple instruments w...
Comparative study of intramedullary interlocking nailing and minimally invasive percutaneous plate osteosynthesis (MIPO) in extra articular distal tibial fracture
Introduction: Tibia is one of the most commonly fractured long bone of the body. Distal tibia fractures are primarily located within a square based on the width of the distal tibia. Treatment of distal tibia fracture is...
Evaluation of medial open wedge high tibial osteotomy in patients with varus mal-union after fractures of proximal tibia
Background: Aim of our study was to assess the functional outcome of Medial Open Wedge High Tibial Osteotomy performed in patients of varus mal-union after intra-articular fractures of proximal tibia. Methods: This study...
Functional outcome of bilateral total knee arthroplasty: A two-year prospective study
The wider adoption of simultaneous bilateral TKA has been limited due to the reports of the associated risk of mortality and perioperative complications. The present study evaluated the safety of single-stage bilateral t...