Abstract: Background: This study evaluated the functional outcome of ipsilateral fracture of femur and tibia.
Materials and Methods: 30 cases were studied. Fracture types were classified according to Fraser classification into Type1-22, Type2A-4, Type2B-2, Type2C-2 cases. Different modalities of treatment were used. Functional assessment was done according to Karlstrom and Olerud criteria.
Results: Most common mode of injury was road traffic accidents. Average time period for bony union was 20.43 weeks for femur and 24.26 weeks for tibia in Type-1, 38.28 weeks for femur and 29.42 weeks for tibia in type 2. Compound, comminuted, intra articular fractures took more time to unite. Complications like knee stiffness, infection, delayed and non union were encountered which required additional procedures. Average knee range of motion was 0-108.67o, functional outcome was excellent in 12, good in 11, acceptable in 2 and poor in 5 patients.
Conclusion: Functional outcome was better in Type-1 fractures treated with intramedullary interlock nailing which allowed early mobilization and weight bearing than in Type-2 intra articular fracture treated with plating.
