International Journal of Orthopaedics Sciences

Functional and radiological outcome of surgical management of distal femur fracture with distal femoral locking plate at Chhindwara Institute of Medical Sciences: Chhindwara

2023, Volume 9 Issue 2

Functional and radiological outcome of surgical management of distal femur fracture with distal femoral locking plate at Chhindwara Institute of Medical Sciences: Chhindwara

Author(s): Dr. Kishore Uikey, Dr. Mona Bhalavi, Dr. Morin Joy Daya and Dr. Premchand Ahirwar
Abstract: 
Introduction: Distal femoral fractures account for approximately 4-6% of all fractures of the femur. The treatment of distal femur fractures presents a considerable challenge due to the notable morbidity and complication rate, despite the utilisation of sophisticated surgical techniques and implants. Currently, the Open Reduction and Internal Fixation (ORIF) technique utilising a pre-contoured Distal Femoral Locking Compression Plate (DF-LCP) is widely regarded as a favourable surgical intervention.
Methodology: This prospective study was conducted at CIMS, Chindwara, with 32 patients. Patients 18 years or older with Type A, B, or C distal femur fractures, both closed and open, who were willing to participate in the study and follow-up visits were included. Pathological fractures, previous surgery revisions, Grade 111 A, B, C open fractures, and bilateral distal end of femur fractures were excluded. Distal femoral plating with locking compression plate was done through lateral parapatellar approach. They were checked monthly until 6 months post-op and then at 1 year. Radiological and functional assessments were done postoperatively.
Results: Out of the 21 patients of distal femur fractures, Male: female ratio was 3:1 among the total n = 32 subjects, with n = 24 (75%) male cases and n = 8 (25%) female cases. In n = 24 (75%) cases, motor vehicle accidents were the cause of the fractures Muller's Type A1 fractures comprised n = 4 (12.5%) of the distal femur's fractures, Type C1 fractures comprised n = 11 (34.37%), Type C2 fractures n = 11 (34.37%) and Type C3 fractures N = 6 (18.75%) (Table 2). Six subjects (18.75%) had open-type fractures, while 26 (81.25%) had closed-type fractures. According to Neers' Functional scoring 19 subject having excellent coring while 6 were having satisfactory 5 subject shows unsatisfactory scoring while failure is present in 2 subject.
Conclusion: Distal Femoral Locking Plate is one of the best implant to be used as fixation method for both extra-articular and intra- articular distal femur fracture.

Pages: 297-302  |  333 Views  158 Downloads


International Journal of Orthopaedics Sciences
How to cite this article:
Dr. Kishore Uikey, Dr. Mona Bhalavi, Dr. Morin Joy Daya, Dr. Premchand Ahirwar. Functional and radiological outcome of surgical management of distal femur fracture with distal femoral locking plate at Chhindwara Institute of Medical Sciences: Chhindwara. Int J Orthop Sci 2023;9(2):297-302. DOI: 10.22271/ortho.2023.v9.i2d.3383
 
International Journal of Orthopaedics Sciences
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