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Volume 13 Issue 6 (June) 2024

Original Articles

To investigate the efficacy of dual plate fixation in treating fractures of the distal femur
Dr. Maninder Singh, Dr. Surya Partap, Dr. Dixit Bansal, Dr. Vikas Sood

Aim: To investigate the efficacy of Dual Plate Fixation in treating fractures of the distal femur. Material and Methods: This research included a cohort of 50 individuals who were diagnosed with distal femoral fractures. Dual plate fixation was used to handle all patients. This research comprised individuals who were skeletally mature and had distal femoral fractures categorized as type A3 or C3 based on the AO/OTA classification. The research eliminated individuals who were skeletally immature, had open fractures, periprosthetic supracondylar femur fractures, or pathological fractures. Pain was be managed with appropriate medications. The patient will have a lengthy leg splint and was be given low molecular weight heparin (Enoxaparin 40 IU) to prevent deep vein thrombosis (DVT). The heparin was be halted 12-24 hours before surgery and restarted 12 hours after surgery. Results: The average duration of the operation, which was 95.4 minutes with a standard deviation of 20.3 minutes. The mean intraoperative blood loss was 350 ml with a standard deviation of 75 ml. Five patients (10%) needed blood transfusions during surgery.3 patients (6%) had Postoperative infection rates, whereas 2 patients (4%) had deep vein thrombosis (DVT). Patients were treated using non-weight-bearing for a period of 6 to 8 weeks until radiographic evidence of bone healing was seen. All patients (100%) received intravenous analgesics for 2 days after the operation as part of pain treatment. All patients (100%) received daily administration of low molecular weight heparin (Clexan - enoxaparin sodium) for 6 weeks as a prophylactic for deep vein thrombosis (DVT). All patients (100%) received postoperative broad-spectrum antibiotics. The average duration for union formation, which was 12.4 weeks with a standard deviation of 3.2. By the 3-month mark, 84% of the 42 patients had indications of union, a figure that rose to 100% after 6 months. The average Neer' s score for functional outcome as 85.6 (± 10.2), and the average Oxford Knee Score (OKS) as 40.5 (± 7.3). Conclusion: The findings of this research indicate that using dual plate fixation for distal femoral fractures has favorable results in terms of the rates of bone healing, restoration of function, and occurrence of complications. The results align with previous research, confirming that dual plate fixation is a dependable surgical approach for treating distal femoral fractures.

 
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