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 96
- Downloads 0
Management of proximal humerus fracture with PHILOS (Proximal Humerus Internal Locking System): A prospective study
Proximal humeral fractures may present with many different configurations in patients with varying co-morbidities and expectations. The PHILOS plate is preffered for long fractures because the plate is available in longe...
A study on functional outcome following surgical fixation for subaxial cervical spine injuries
Background: Cervical instability due to trauma is usually from level c3 to c7 (i.e sub axial). Neurological deficit are common i.e root compression and cord compression with subluxation and dislocation. Unstable cervical...
A comparitive study of plate osteosynthesis versus intramedullary nailing for distal tibia fractures
Introduction: For the past decade, nailing and plating for fracture reduction has been successful in treating fractures of lower extremity especially distal tibia. The goal of the techniques is to apply stable fixation w...
A rare case of Fibrodysplasia ossificans progressive
Fibrodysplasia ossificans progressiva (FOP), a rare and disabling genetic condition characterized by congenital malformations of the great toes and progressive heterotopic endochondral ossification (HEO) which is the mos...
Surgical treatment of Pilon fracture
Introduction: A Pilon fracture, an uncommon but serious injury of lower limb constituting 7.1 % of all tibial fracture, is still unsolved problem & challenge for orthopedic surgeon as far as management is concerned. Meth...