Original Articles
Functional outcome of Distal femoral locking compression plate (DF-LCP) in Muller’s type A and C distal femur fractures | |
Dr. Abhishek, Dr. Manjeet Singh Dhanda, Dr. Harnam Singh Madan, Dr. Nakul khera, Dr. Ravi Bhushan, Dr. Anshita Mishra | |
Aim: Functional outcome of Distal femoral locking compression plate (DF-LCP) in Muller’s type A and C distal femur fractures. Material and methods: The study was conducted over a period of 18 months in the Department of Orthopaedics, Shaheed Hasan Khan Mewati government medical college, nalhar, nuh, Haryana. Patients of age more than 18 years coming to SHKM GMC with closed distal femoral fractures (Muller's type A and C were included in the study. The study was conducted on 40 patients who met the inclusion criteria. Open reduction and internal fixation with DF-LCP was proposed. Treatment modality was explained to the patients and family including procedure, expected outcomes & complications. Pre-anesthetic check was done. Consent was taken for surgery. Intravenous antibiotics given to all patients half an hour prior to surgery. Direct Lateral approach and Swashbuckler Approach were used. Results: Majority (32.5%) of the subjects belonged to 41-50 years followed by 51-60 years (25.0%), 21-30 years (20.0%), 31-40 years (17.5%) and above 60 years (5.0%). The mean age of the study population was 43.68±11.76 (22-65) years. There were 34 (85.0%) males and 6 (15.0%) with a male: female ratio of 5.67. Maximum number of the patients reported injury due to RTA (82.5%) followed by fall (17.5%). Right side was affected among 35 (87.5%) and Left side among 5 (12.5%) subjects. Maximum subjects reported with 33C2 fractures (30.0%). Associated injuries occurred among 7 (17.5%) subjects. The mean NEER score was 83.43±6.21 (72.00-94.00). The mean NEER score increased significantly from 21-30 years and 31-40 years to 41-50 years and 51-60 years to above 60 years. Conclusion: we conclude that open reduction and internal fixation of supracondylar and intercondylar fracture by locking plate in perspective of increasing severity of trauma have a distinct advantage over other modalities of surgical intervention in terms of nil or occasional pain, early mobilization and weight bearing, good range of motion, minimal limitation of activity, less deformity, early bony union, minimal limb length discrepancy. Large comparative multi-centric studies are required for meaningful conclusions to be drawn. |
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