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

Authors

  • B. L. Khajotia Department of Orthopaedics, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Vikrant Shekhawat Department of Orthopaedics, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Shakti Chauhan Department of Orthopaedics, Sardar Patel Medical College, Bikaner, Rajasthan, India
  • Sunil Bhatiwal Department of Orthopaedics, Sardar Patel Medical College, Bikaner, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20194815

Keywords:

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

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.

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Published

2019-10-22

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Original Research Articles