Abstract: Introduction: Lateral locking plate fixation has become an accepted standard treatment for the fixation of distal femur fractures owing to the improved fixation and increased stiffness provided by the fixed angle construct. Extensive metaphysical commination, either AO C2 or C3, is complicated by high rates of varus collapse with medial commination, loss of fixation, and non-union. However, studies have reported various rates of non-union following treatment with LCP, these rates ranging from 0% to as high as 20%. Dual plating of distal femur fractures with a lateral plate and a medial plate has been used to improve fracture alignment and stabilization when a single plate has not been adequate.
So additional support of distal femur fracture stabilization by using double-plating technique similar to that used in two column fractures of acetabulum, distal humerus and tibial plateau has been done in this study, based on failed cases encountered with single lateral plating in the past and literature support on double plating of distal femur fractures.
The purpose of this study is to evaluate the outcome of surgical treatment, for fresh distal femur fractures, treated with dual plating.
Materials and Methods: Study Type: Hospital-based interventional study was conducted in tertiary care fascility, Jodhpur from December 2020 to march 2023.
Result: Our study result with union rate of 94% and average healing time between 18-24 weeks both clinically and radiologically and a mean healing time of 20.9 weeks (5 months) with no cases of varus deformity. Two case of non-union. 63% of patients had good-excellent functional outcome in our study with 70% of patients having range of motion more than 90.
