Despite advances in techniques and improvements in surgical implants, treatment of distal femoral fractures remains a challenge in many situations. Debate continues around choice of implant for fixation of metaphyseal-diaphyseal fractures. In this prospective study, we had evaluated and compared clinical and radiological outcomes of distal femur fracture stabilization.
Study design: We conducted interventional study on adult patients having distal femur fractures. 58 fractures were presented during study period. 12 patients were excluded due to Polytrauma (6), head injuries (2), spine injuries (2) and unwilling to participate (2). Forty six patients were evaluated at the end of study. Demographic variables, fracture pattern, mode of injury, union time, non union, and complications were recorded in proforma evaluated at the end of follow up using Pritchett outcome scores.
Results: Mean age was 44.7±18.18 yrs. Fifty percent had AO 3.3C injuries. 47.8% patients underwent distal femoral locked plate fixation. 26% had open fractures. 45.7% fractures united within 6 months of surgical procedure. 32.6% patient had excellent outcome. Loss of fixation was related to pain and tendency to worse outcome according to Pritchett score.
Conclusion: Stable fixation and early knee joint mobilization are important factors for good functional outcome of distal femoral fracture.