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 pulmonary embolism. This necessitates early stabilization of fractures. Internal fixation is the choice of treatment in fractures distal femur with LCP. 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 closed reduction with locking compression plate by Minimally Invasive Percutaneous Plate Osteosynthesis.
Methods: 20 cases of fracture distal end femur were treated by closed reduction and internal fixation with LCP by MIPPO. The patients were evaluated clinically and radiologically for outcomes. All patients were followed up for an average of 12 months. Outcome was assessed using NEER’S Score.
Results: In our study 22 distal femoral fractures were treated. All cases were fresh, 19 patients were males and 3 patients were females. The median age was 45 years ranging from 22-68 years? 16 of the fractures were caused by road traffic accidents and 5 were due to fall, 2 were due to assault. 14 patients were with fracture on right side and 6 on left side. Using Neers scoring system excellent is 54%, good is 28%, and fair is 22%. Range of motion of knee & Hip was excellent to very good. Gait and weight bearing after complete union was satisfactory.
Conclusion: Closed reduction and internal fixation of fracture lower end of femur using locking compression plate by minimally invasive plate osteosynthesis is one of the best modalities of treatment especially in intraarticular fractures where the maintenance of articular congruity is crucial. Fixation with locking condylar plate showed more effectiveness in severly osteopototic bones, shorter post-operative stay, faster recovery, earlier union rates and excellent functional outcome compared to alternative procedures in other studies.
