Abstract

A STUDY OF SURGICAL MANAGEMENT OF DISTAL FEMORAL FRACTURES BY DISTAL FEMORAL LOCKING COMPRESSION PLATE OSTEOSYNTHESIS

Author(s): Dema Rajaiah1, Yerukala Ramana2, Kuppa Srinivas3, S. Venkateswar Reddy4

AIMS AND OBJECTIVES
To study the fractures of distal end of femur and the mechanism of injury in distal end femur fractures, the advantages and disadvantages of open reduction and internal fixation of distal end femur fractures by distal femoral locking compression plate osteosynthesis and to analyse the outcome in terms of range of Knee motion, time to union, and limb shortening.
RESULTS
The mean age of patient is 44 years, 85% are males, road traffic accidents account for majority (80%), right side involved in 70%, Muller’s type C fracture is common, good range of movements is seen 90% of cases and union occurred in 95% in 5 months. The results were assessed using Neer’s score, seven (35%) patients had excellent results, eight (40%) patients had good results, four (20%) patients had fair results and one (5%) patient had poor result.
CONCLUSION
From our study, we conclude that DF-LCP is a safe and reliable implant and has shown excellent to satisfactory results in majority of intra-articular fractures (AO type C). Fixation with locking compression plate showed more effectiveness in severely osteoporotic bones, shorter operative stay, faster recovery, faster union rates and excellent functional outcome.