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.
