Distal femur fracture fixation by LCP- 2 year experience

Author(s): Dr. BS Sahoo and Dr. Dillip Kumar Chand

Abstract: Distal femur fractures have always posed a therapeutic challenge to orthopaedic surgeons. Different implants and modalities of fixation have been developed over the years for management of these fractures. The aim of this study was to analyze the complications and clinical outcomes following fixation with LCP as the treatment for distal femoral fractures. This is a prospective study in which thirty four (34) consecutives cases of fracture of distal femur, aged 18-70 years, irrespective of sex were subjected to open reduction and internal fixation with locking compression plate and follow up for 2 year. Mean time for fracture union was clinically 16.34 weeks and radiologically 28.64 weeks. At the latest follow up ROM > 110 is noted in 10 patients, 90–110 in 16 patients, and 75–90 in 5 patients and <75 in 3 patients. In our study 10 patients had excellent result, 16 had good, 5 had fair and 3 had poor result according to Pritchett rating system. Locked plating of DF fractures permits stable fixation and early mobilization. However, careful understanding of its basic principles and identification of appropriate fracture pattern for use of LCP are essential to avoid complications of infections and non- union and delayed unions.

DOI: https://doi.org/10.22271/ortho.2017.v3.i1l.117