DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20194815

Clinical and radiological outcome of distal femoral fractures treated by distal femoral locking compression plate

B. L. Khajotia, Vikrant Shekhawat, Shakti Chauhan, Sunil Bhatiwal

Abstract


Background: Distal femoral fractures represent a challenging problem in orthopaedic practice. Open reduction with internal fixation has replaced previous trends of closed conservative management and external fixation. Distal femoral locking compression plate (DF-LCP) provides both locking and compression screw fixation of the femur shaft. This study was conducted to assess the clinical and radiological results of distal femoral fractures treated with DF-LCP.

Methods: It was a prospective study on 90 cases. Fracture patterns AO type A and C were considered. Lateral approach was used as standard surgical technique. The total follow up period was 6 months .Functional and radiological results were evaluated using Neer’s score.

Results: The series consisted of 64 males and 26 female patients with mean age 40.56 years. Road traffic Accident (68%) was the commonest mode of injury. Most were closed fractures. Wound infection was seen in 4 patients. Average flexion at knee joint was 117°. 100% union rate was observed with an average union time of 14.3 weeks. NEER’s score was excellent in 44, good in 32, fair in 10 cases and poor in 4 cases.

Conclusions: DF-LCP is an important armamentarium in treatment of distal femur fractures especially when fracture is closed, severely comminuted and in case of osteoporosis.


Keywords


Distal femoral locking compression plate, Internal fixation, Distal femur fracture

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References


Wilson JN, Watson Jones high velocity injuries. Fractures and Joint Injuries. 6th edition. Edinburgh, New York: Churchill Livingstone; 1982: 1003-1070.

Kregor PJ, Stannard J, Zlowodzki M, Cole PA, Alonso J. Distal femoral fracture fixation utilizing the Less Invasive Stabilization System (L.I.S.S.): the technique and early results. Injury. 2001;32(3):SC32-47.

Schütz M, Müller M, Regazzoni P, Höntzsch D, Krettek C, Van der Werken C, et al. Use of the Less Invasive Stabilization System (LISS) in patients with distal femoral (AO33) fractures: a prospective multicenter study. Arch Orthop Trauma Surg. 2005;125(2):102-8.

Hugh Owen Thomas. Quoted by Rockwood CA, Green DP. Fractures in adult. 4th edition, Volume II. 1996: 1972-1993.

Kregor PJ, Stannard JA, Zlowodzki M, Cole PA. Treatment of Distal Femur Fractures Using the Less Invasive Stabilization System: Surgical Experience and Early Clinical Results in 103 Fractures. J Orthop Trauma. 2004;18(8):509-20.

3) Schütz M, Müller M, Regazzoni P, Höntzsch D, Krettek C, Van der Werken C, et al. Use of the Less Invasive Stabilization System (LISS) in patients with distal femoral (AO33) fractures: a prospective multicenter study. Arch Orthop Trauma Surg. 2005;125(2):102-8.

Yeap and Deepak. Distal Femoral Locking Compression Plate Fixation in Distal Femoral Fractures: Early Results. Malaysian Orthopaedic J. 1985;1:12-7.

Dasaraiah CV, Rao AS, Sahini SC. Surgical management of supracondylar femoral fracture by locking compression plate. IOSR. 2006;15:23-33.

Markmiller M, Allgoewer M, Sclmeider R. Distal femoral fractures. Manual der osteosynthese/ AO Technik. 1992;3:53-65.

Schandelmaier P, Partenheimer A, Koenemann B, Grun OA, Krettek C. Distal Femoral Fractures and LISS Stabilization. Injury. 2001;2:55-63.

Weight M, Collinge C. Early Results of the Less Invasive Stabilization System for Mechanically Unstable Fractures of the Distal Femur (AO/OTA Types A2, A3, C2, and C3). J Orthop Trauma. 2004;3:503-8.

Fankhauser F, Gruber G, Schippinger G, Boldin C, Hofer HP, Grechenig W, et al. Minimal-Invasive Treatment of Distal Femoral 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;1:56-60.

Wong MK, Leung F, Chow SP. Treatment of Distal Femoral Fractures in the Elderly Using a Less-Invasive Plating Technique. Int Orthop. 2005;2:117-20.

Neer CS, Grantham SA, Shelton ML. Supracondylar fracture of adult femur. JBJS. 1967;49:591-613.

Vishwanath C, Harish K, Gunnaiah KG, Kumar C. Surgical outcome of distal femur fracture by locking compression plate. IJOS. 2016;2:233-9.