International Journal of Orthopaedics Sciences

Management of distal femur fractures with bicolumnar fixation with condylar buttress plate and TENS nail

2019, Volume 5 Issue 2

Management of distal femur fractures with bicolumnar fixation with condylar buttress plate and TENS nail

Author(s): Anil Gupta MS, Shafiq Hackla MS, John Mohammad, Naresh Rana, Kamalji Pandit and Shujat Ali
Abstract: 
Introduction: The fracture of distal femur are often unstable and comminuted and as difficult to treat. The incidence of complications in these fracture are relatively high. We have treated the fracture of distal femur with comminuted medial wall with condylar buttress plate and support of medial wall with TENS nail.
Material and Methods: Fifty three patients with intercondylar fracture of distal femur were selected. There were thirty three males and twenty females. The average age of the patients was 36.2 years. All the patients were operated between 3 to 7 days. The final outcome was assessed according to schatzker and Lambert scoring system. The complications were also noted.
Results: The result was excellent in fifteen, good in twenty three, fair in eleven and poor in four patients according to schatzker and Lambert scoring system. The average time to Union was 14.2 weeks. Complications include superficial wound infection in five patient, knee stiffness, and varus angulation less than 5 degree in eight and five patients respectively.
Conclusion: The use of TENS nail for medial femoral defect along with condylar buttress plate may eliminate the need of plate on medial side. The varus angulation that occurs with defect is decreased and additional long incision and operative time is avoided.
Pages: 907-910  |  1019 Views  94 Downloads
How to cite this article:
Anil Gupta MS, Shafiq Hackla MS, John Mohammad, Naresh Rana, Kamalji Pandit, Shujat Ali. Management of distal femur fractures with bicolumnar fixation with condylar buttress plate and TENS nail. Int J Orthop Sci 2019;5(2):907-910. DOI: 10.22271/ortho.2019.v5.i2m.110
 
International Journal of Orthopaedics Sciences
Call for book chapter