Results of distal femur locking plate in communited distal femur fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction: A fracture of the distal femur is a grave injury that for years represented an unsolved problem in trauma and was considered to result almost always in varying degrees of permanent disability. Incidence is bimodal with one peak in adolescent boys and men from 15 to 24 [high energy trauma] and second peak in elderly women 75yrs[low energy trauma].In the past closed procedures consisting primarily of traction and splinting had drawbacks like knee stiffness and prolonged immobilisation. Recent advances led to development of Locking Compression Plate (LCP) which is a single beam construct. Further when applied via Minimal Invasive Technique it lowers rate of infection and favours biological fixation. Materials and Methods: Prospective study of 30 patients with minimum 6 months follow up were included. Communited fractures of distal femur were included in the study. Implants Used: Plates-The Distal Femur LCP. Classification used: AO Classification. Clinical and functional outcomes were assessed using Rasmussen’s Functional Knee Score. Major Complications: like flexion deformity, non union, malunion were assessed. Results and Observations: 18 patient had excellent result, 10 patient had good result, 1 patient had fair result & 1 patient had poor result. According to rassamussen’s knee score 67.67% patients had no pain at rest and others had mild to moderate pain at rest. The average time for union was 16.56 weeks with 1delayed union and no nonunion no malunion. The range of motion in affected knee was 120 degrees in 40%. Upto 90 degrees knee flexion in 24 out of 30 patients. Superficial infection was found in 4 patients. Angulation and plate bending was found in 1 patient due to early full weight bearing. Conclusion: Thus we can safely recommend the distal femur locking compression plate as a very useful implant in osteoporotic fractures.
Authors and Affiliations
Dr. Hemeshwar Harshwardhan, Dr. Arun Kumar Rajpurohit
Keywords
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- EP ID EP486663
- DOI 10.22271/ortho.2018.v4.i2d.35
- Views 110
- Downloads 0
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