Original Articles
A prospective study to evaluate the use of locking compression plate in patients of distal femur fracture managed surgically | |
Dr. Dhruv Gautam, Dr. Sunil Kumar Dhanger, Dr. Rahul Singhoria, Dr. Bidisha Barua | |
Introduction: Distal femur fracture are being treated with distal femur nail, dynamic condylar screw and even addition of a medial plate with good clinical results. By this study, we explore the potentiability of a distal femur locking plate to counter distal femur fractures of extraarticular, partial or intra- articular nature. Positive results have been brought out by various groups from all over the world. Aim: To study the clinical, functional and radiological outcome of distal femoral fractures managed by open reduction and internal fixation with distal femur locking plate in skeletally mature patients. Materials and Methods: This was a prospective study conducted from May 2023 to January 2024 in Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India in skeletally mature patients with post-traumatic distal femur fractures. Follow and evaluation was done according to the Neer scoring system. Results: Following all principles of fracture reduction, union was achieved in all patients with mean time to radiological union being 19 weeks. The mean Range of Motion (ROM) was 109 degrees with 20 patients having a Neer score graded as excellent to satisfactory. Three patients developed complications in the form of infection (two cases) and mal-union (one case) during the course of our study, but were completely treated by the end of the study Conclusion: Positive results can be obtained by distal femur locking plate alone as it is the main implant of choice for distal femur fractures of all varieties. Best outcome is expected if fracture fixation is done following all the basic principles of fracture fixation and taking benefit of the mechanical properties of a locking plate. |
|
Abstract View | Download PDF | Current Issue |
IJLBPR
322 Parlount Road Slough Berkshire SL3 8AX, UK
ijlbpr@gmail.com
© IJLBPR. All Rights Reserved.