DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20193828

A clinical study in distal femur fractures management with locking compression plate without C-arm images

Gaurav Singla

Abstract


Background: Distal femur fractures pose a surgical challenge to the orthopaedic surgeons. Multiple implants are available but locking compression plate is a good implant to be used in this anatomical location. LCP may reduce the tendency of varus collapse and offers higher stability than other implants. Aim of our study was to review functional outcome, union time and complications in distal femoral fractures treated with distal femoral locking plate without C-arm imaging modality.

Methods: 25 patients with closed or open type grade1 and 2 distal femur fractures managed with open method locking compression plate without C-arm image. Pritchett rating system was used for evaluation of outcome.

Results: All patients in this series united well with an average time of 13 weeks with minimal complications. Functional outcome was excellent in 4 patients, good in 19 patients, fair in 2 patients.

Conclusions: Open reduction and locking compression plate is suitable implant available for fixation of distal femur fractures with minimal complications. Even it can be done without C-arm. Surgical technique and proper anatomical reduction and alignment are the key for good results.


Keywords


Distal femur fractures, Distal femur locking plate, Pritchett rating system

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References


Brown CMC, Heckman JD, McQueen MM, Ricci WM, Tornetta P. Rockwood and Green’s Fractures in adults. 8th edition. Volume 2.: Philadelphia: Wolters Kluwer Health; 2015: 2229.

Martinet O, Cordey J, Harder Y, Maier A, Buhler M, Barraud GE. Epidemiology of fracture of distal femur. Injury. 2000;31:62-3.

Frankhauser F, Gruber G, Schippinger G, Boldin C, Hofer H, Grechenig W, et al. Minimal invasive treatment of distal femoral fractures with the LISS. A prospective study of 30 fractures with a follow up of 20 months. Acta Orthop Scand. 2004;75(1):55-60.

Ehlinger M, Adam P, Arlettaz Y, Moor BK, DiMarco A, Brinkert D, et al. Minimal invasive fixation of distal extra articular femur fractures with locking plates. Limitations and failures. Orthop Traumatol Surg Res. 2011;97(6):668-74.

Davis C, Stall A, Knutsen E, Whitney A, Becker E, Hsieh AH, et al. Locking plates in osteoporosis. J Orthop Trauma. 2012;26(4):216-21.

Cornell CN, Ayalon O. Evidence for success with locking plates for fragility fractures. HSS J. 2011;7(2):164-9.

Wilkens KJ, Curtiss S, Lee MA. Polyaxial locking plate fixation in distal femur fractures. A biomechanical comparison. J Orthop Trauma. 2008;22:624-8.

Sanders R, Swiontowski M, Rosen H, Helfet D. Double Plating of comminuted unstable fractures of distal part of femur. JBJS Am. 1991;73(3):341-6.

Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004;18(8):488-93.

Zlowodzki M, Bhandari M, Marek DJ, Cole PA, Kregor PJ. Operative treatment of acute distal femur fractures: systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma. 2006;20(5):366-71.

Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. Surgical techniques and a review of literature. Orthop Traumatol Surg Res. 2013;99(3):353-60.

Fankhauser F, Gruber G, Schippinger G, Boldin C, Hofer HP, Grechenig W. Minimal invasive treatment of distal femur fractures with the LISS (Less invasive stabilization system): a prospective study of 30 fractures with a follow up of 20 months. Acta Orthop Scand. 2004;75(1):56-60.

Weight M, Collinge C. Early results of less invasive stabilization system for mechanically unstable fractures of the distal femur. J Orthop Trauma. 2004;18:503-8.

Henderson CE, Lujan T, Bottlang M, Fitzpatrick DC, Steve MM, Marsh JL. Stabilization of distal femur fractures with intramedullary nails and locking plates: differences in callus formation. Iowa Orthop J. 2010;30:61-8.

Schandelmaier P, Partenheimer A, Koenemann B, Grun OA, Krettek C. Distal femoral fractures and LISS stabilization. Injury. 2001;32(3):55-63.

Reddy JAV, Chary NB. Functional outcome of distal end of femur fracture with LCP. A prospective study. Ann Int Med Den Res. 2016;2(1):362-5.

Pritchett JW. Supracondylar fractures of the femur. CORR. 1984;184:173-7.

Kregor PJ, Stannard JA. Treatment of distal femur fractures using the less invasive. J Orthop Trauma. 2004;18(8):509-20.

Virk JS, Garg SK, Gupta P, Jangira V, Singh J, Rana S. Distal femur locking plate. The answer to all distal femoral fractures. J Clin Diagn Res.2016;10(10):1-5.