scholarly journals Comparison of outcomes of supracondylar femur fractures treated with locking compression plate vs supracondylar nail

2017 ◽  
Vol 3 (4) ◽  
pp. 120-126
Author(s):  
Dr. Abhijeet Sudhir Shroff ◽  
◽  
Dr. Dhammapal Sahebrao Bhamare ◽  
Dr. Prafulla Herode ◽  
Dr. Mohan Hansraj Sadaria ◽  
...  
Keyword(s):  
Locking Compression Plate ◽  
Femur Fractures ◽  
Compression Plate ◽  
Supracondylar Femur Fractures

scholarly journals A prospective study on surgical fixation of complex supracondylar femur fracture with distal femoral locking compression plate: our experiences at a tertiary care centre

2020 ◽  
Vol 6 (5) ◽  
pp. 1057
Author(s):  
Rajesh Kumar Sharma ◽  
Anuradha Upadhyay ◽  
Rahul Parmar
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Clinical Results ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Tertiary Care Centre ◽  
Non Union ◽  
Femur Fractures ◽  
Compression Plate ◽  
Supracondylar Femur Fractures

<p class="Default"><strong>Background: </strong>The optimal treatment of complex supracondylar femur fractures remains always challenging and controversial. the purpose of this prospective study was to evaluate the efficacy of distal femoral locking compression plate (DF-LCP) in terms of functional outcome and union rate for highly unstable complex supracondylar femur fractures and to determine the influencing factors of an unfavourable outcome.</p><p><strong>Methods:</strong> After obtaining approval from institutional ethics committee, 45 patients with complex supracondylar femur fractures were managed by open reduction and internal fixation with DF-LCP through lateral approach and as per standard protocol. The follow-up results were analysed clinically and radiologically, using the “Schatzker and Lambert criteria” at once in a month for first three months, once in three months up to one year and once in six months thereafter up to 2 years post-operatively.</p><p><strong>Results:</strong> In the present study, average duration of radiological union was 16 (range 12-22) weeks. The average range of motion of knee joint was 105 degrees. Out of 45 patients, clinical results were excellent in 48.9%, good in 17.8%, fair in 22.2% and poor in 11.1% patients according to Schatzker and Lambert criteria. Knee stiffness (7 cases), secondary arthritis (5 cases), and non-union (4 cases) were the main complications observed in this study, which were treated accordingly.</p><p><strong>Conclusions: </strong>DF-LCP holds the metaphyseal bone strongly and prevents metaphyseal collapse and mal-rotation in complex or highly unstable supracondylar femur fractures and simultaneously, it provides stable fixation to promote fracture union and allows early rehabilitation with acceptable complications.</p>

CLINICAL EVALUATION OF EFFICACY OF MINIMAL INVASIVE PLATE OSTEOSYN THESIS TECHNIQUE FOR SURGICAL MANAGEMENT OF SUPRACONDYLAR FEMUR FRACTURES

2021 ◽  
pp. 67-69
Author(s):  
Sumanta Panja ◽  
Mujibar Rahaman Mullick
Keyword(s):  
Distal Femur ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Osteoporotic Bone ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Randomized Controlled Studies ◽  
Compression Plate ◽  
Supracondylar Femur Fractures

AIMS AND OBJECTIVES: To study Union rate (time to union), time of mobilization, functional results, radiological results, complications of supracondylar femur fractures treated by MIPO techniques with distal femur locking compression plate (DF-LCP). MATERIALANDMETHODS: This is a prospective study of 30 Patients, with supracondylar femur fractures (AO classication A) who were treated with distal femur locking compression plate (DF- LCP) by MIPO techniques at Department of Orthopaedics, SSKM & IPGMER KOLKATA from 1stJAN2015 to 31st JULY 2016.The study sample size was 30 patients and all these patients were included with predened inclusion & exclusion criteria in this study. Minimum of 12 months and a maximum of 17 months follow up were done. The functional and radiographic results were recorded according to Knee Society Score criteria. RESULTS: The average time to union was 3.93 months with a range of 2 – 7 months (8 – 28 weeks) and standard deviation being 1.13. The Mean range of exion obtained postoperatively was 108.830 with a range of 900– 1250. Six decreased knee movements, two mal-alignment, two implant failure and two infection were the residual complications in our study. Follow up of our cases included from a minimum of 12 months to a maximum of 17 months. Excellent results were seen in 3 cases, good in 10, fair in 12 and 5 case of poor results was seen. CONCLUSION: We conclude that MIPO technique with DF-LCP in distal femoral fractures is a safe and reliable option. It may substitute a conventional plate and screw system (compression method) in treatment of complex distal femoral fractures especially in osteoporotic bone. Further randomized controlled studies are required in different situations to know the usefulness of this implant.

Treatment of Distal Femur Fractures With the DePuy-Synthes Variable Angle Locking Compression Plate

2019 ◽  
Vol 33 (9) ◽  
pp. 432-437 ◽  
Author(s):  
Tyler C. McDonald ◽  
Joella J. Lambert ◽  
R. Miles Hulick ◽  
Matthew L. Graves ◽  
George V. Russell ◽  
...  
Keyword(s):  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Variable Angle ◽  
Compression Plate

scholarly journals Clinical and functional outcomes of surgical management of distal femur fractures using distal femur locking compression plate

2017 ◽  
Vol 3 (2f) ◽  
pp. 576-582 ◽  
Author(s):  
Dr. Jay Dhariwal ◽  
Dr. Ashok Kumar ◽  
Dr. Anurag Chhabra ◽  
Dr. Sunil Yadav ◽  
Dr. Mayank Dutta ◽  
...  
Keyword(s):  
Surgical Management ◽  
Functional Outcomes ◽  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Compression Plate

scholarly journals A comparative study between proximal femur locking compression plate and dynamic hip screw fixation in management of intertrochantric femur fractures

2016 ◽  
Vol 2 (4) ◽  
pp. 327
Author(s):  
Mithlesh Kumar Meena ◽  
Vinay Joshi
Keyword(s):  
Locking Plate ◽  
Locking Compression Plate ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Trochanteric Fractures ◽  
Superficial Infection ◽  
Femur Fractures ◽  
Compression Plate ◽  
Hip Screw ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Proximal femur fractures are one of the commonest fracture encountered in orthopaedic trauma practice. Dynamic hip screw (DHS) is the gold standard procedure for treatment for stable intertrochanteric  fractures, however problem arises with unstable fractures in maintenance of neck shaft angle and proper reduction. Here we are giving results of trochanteric fractures treated with proximal femoral locking compression plate (PFLCP) as compared with dynamic hip screw (DHS).</p><p class="abstract"><strong>Methods:</strong> This study was a prospective study. Two groups of trochanteric fractures of 25 patients operated with DHS and LCP were taken. Each patient was followed-up from July 2011 to October 2012 for minimum of 12 month or till the bony union.<strong> </strong>Every fracture was classified according to AO classification. Functional results will be assessed as per modified Harris hip evaluation score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 25 patient treated with PFLCP, length discrepancy was .857 cm while that for DHS was 1.2 cm. The mean time of unaided walking with LCP Was 14.20 weeks while for DHS it was 16.20 weeks. The mean varus angulation for LCP 8 degree while for DHS 10.2 degree. In LCP in 1 case screw cut out from head and neck of femur while in DHS, same is seen in 2 cases and in addition loss of position of lag screw seen in 5 cases.one case was found with superficial infection in LCP while in case of DHS 3 cases with deep infection for that implant was removed and 6 cases were found with superficial infection.</p><p><strong>Conclusions:</strong> Proximal femoral locking plate (PFLCP) is simple, stable for fixation with fewer complications, and is an effective method for unstable intertrochanteric fractures.  Comparing with DHS group, the locking plate has shorter operative time, fewer blood loss and drainage.</p>

scholarly journals Evaluation of outcome of proximal femur locking compression plate (PFLCP) in unstable proximal femur fractures

2017 ◽  
Vol 8 (4) ◽  
pp. 308-312
Author(s):  
Malkesh D. Shah ◽  
Chirag S. Kapoor ◽  
Rishit J. Soni ◽  
Jagdish J. Patwa ◽  
Paresh P. Golwala
Keyword(s):  
Proximal Femur ◽  
Locking Compression Plate ◽  
Proximal Femur Fractures ◽  
Femur Fractures ◽  
Compression Plate

scholarly journals Assessment of efficacy of locking compression plate in distal femur fractures

2021 ◽  
Author(s):  
Faizal Ali A. A. ◽  
Govind Karunakaran ◽  
Hijas Hameed
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Oxford Knee Score ◽  
Locking Compression Plate ◽  
Knee Score ◽  
Medial Condyle ◽  
Excellent Outcome ◽  
Femur Fractures ◽  
Articular Fractures ◽  
Compression Plate

Background: Distal femur fractures account for an estimated 6% of all femur fractures. Our study aims at evaluating the functional and radiological outcome in distal femur fractures treated with locking compression plate (DF-LCP).Methods: Patients undergoing LCP were assessed postoperatively both functionally and radiologically. Oxford Knee Score was used to assess the functional outcome. With a maximum score of 48, a score of more than 41 is scaled as excellent, 34 to 40 as good functional status, 27 to 33 as fair and score less than 27 as poor functional result.Results: Extra-articular fractures were the commonest (66.7%) type of fractures [simple-6.7%; metaphyseal wedge-20%; metaphyseal complex-40%] followed by complete articular fractures (26.7%) [Simple articular metaphyseal comminution-16.7%; metaphyseal and intra-articular comminution-10%] and partial articular fractures (6.7%) [Medial condyle-3.3%; coronal plane-3.3%]. Most of them had right sided femur injury (66.7%) and had history of fall (70%). Radiologically, 90% exhibited no complications and had united appropriately. Functionally the mean oxford knee score was 41.53±1.69 which ranged from a score of 38 to a maximum of 44. Highest proportion i.e., 63.3% had excellent outcome followed by good functional outcome and none showed fair or poor outcomes.Conclusions: LCP has shown very good radiological and functional outcomes with hundred percent union of the distal femur fractures. Hence it can be used successfully in distal femur fractures.

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