Evaluation of functional and radiological outcome of distal femoral fracture fixation treated with locking plate
Keywords:Distal femur fracture, distal femoral locking plates, high energy trauma.
Background: Fractures of the distal femur are always regarded with great concern because they are difficult to treat, causing long absence from work. These facts have encouraged surgeons to resort to operative treatment with internal fixation. The options for operative treatment are traditional plating techniques that require compression of the implant to the femoral shaft (blade plate, Dynamic Condylar Screw), antegrade nailing, retrograde nailing, sub muscular locked internal fixation and external fixation. Aim: This study evaluates the operative outcomes of fixation of the distal femur fractures by locked plates. Methods: Institution based prospective study comprising of 20 patients attending Orthopaedics emergency or O.P.D. of age group above 18 years with distal femur fractures, who were operated with open reduction and internal fixation with distal femoral locking plates, and followed up for 1 year. Functional and radiological outcomes , and associated complications were evaluated. Results: Out of 20 cases, 17 achieved union, 1 had delayed union and there was a single case of non-union. 75o/o cases the knee range of motion was excellent to very good, gait and weight bearing after complete 1 Union was satisfactory. Conclusion: Complications associated with the plate were few and the functional outcome was excellent. Thus, many of the common complications of the conventional plating can possibly be avoided. We therefore recommend the use of locking plate, especially in elderly patients with osteoporotic bone and comminuted fracture.
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Copyright (c) 2021 Marut Nandan Kumar, Shakti Kishore, Priya Ranjan
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