In the literature, the prevalence of distal third femoral fractures was rare among shaft of femur fractures and accounts up to <7%. In the modern era, management of these fractures has been debated with two renowned implants, like Retrograde supracondylar nail (RSN) and Locked compression plate (LCP). Both the implants have its own pros and cons.
Materials and Methods: We have done a retrospective analysis of 46 patients who were operated on for distal third femur fractures with RSN and LCP in the last 4 years in Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram. We have taken case files of these patients and reviewed them in OPD. There were 21 RSN (45.6%) treated patients and 25 LCP (54.4%) treated patients.
Results: About10 patients (21.7%) in the RSN group and 14 patients in the LCP group (30.4%) had complications. Both RSN & LCP patients had similar complications except the intraarticular nail protrusion (2/46), plate breakage (1/46) and plate offset (3/46).
Conclusion: Thus, our study overviewed the complications and removed the barrier in approaching their management. Both nailing and plating proved to be better implanted with one’s own pitfall. We conclude that proper preoperative planning before surgery aid in good results with both radiological and clinical aspects.