Aim: To compare the functional outcome of supracondylar fractures of distal femur managed by Supracondylar nailing (retrograde) and locking femoral compression plate.
Introduction: Early before 1980, supracondylar fractures of femur were treated with non locking plates. Plaster immobilization and traction were mode of treatment for non-operative patients. Nowadays the knowledge of internal fixation has evolved as to treat complex fractures by cancellous screws, 95 degree blade plate, dynamic condylar screw and plate, condylar buttress plates, locking femoral compression plate and supracondylar nailing (retrograde). Trending procedures for supracondylar fractures of femur are supracondylar nail (retrograde) and locking femoral compression plate.
Materials and Methods: Totally 30 patients of extra articular distal femur fractures treated in Rajah Mathai Medical College from May 2019 to June 2021. Patients were treated by random allocation as 15 patients by retrograde nailing and other 15 patients by distal femur locking compression plate. Functional outcome was compared between them according to Neer’s Scoring System at 24 weeks.
Results: In our study, the patients were screened upto 1 year. Assessment was based on both radiologically and clinical scoring. Neer's score was higher in nailing (54%) compared to plating (46%).
Conclusion: From our study, nailing proved to have good functional outcome in terms of early weight bearing, knee flexion and less union time. Both nailing and plating have excellent results with proper preoperative planning.