scholarly journals Outcome of fracture of intra articular distal femur treated with distal femur locking compression plate

2015 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Nirav P. Trivedi ◽  
Rajdeepsinh H. Chauhan ◽  
Darshansinh R. Padhiyar ◽  
Shreyas P. Gandhi
Keyword(s):  
Distal Femur ◽  
Femur Fracture ◽  
Early Mobilization ◽  
Locking Compression Plate ◽  
Rigid Fixation ◽  
Anatomical Reduction ◽  
Complex Injury ◽  
Femur Fractures ◽  
Compression Plate ◽  
Criteria For Evaluation

<p class="abstract"><strong>Background:</strong> Intra articular fracture of the distal femur is a composite and complex injury that poses various challenges for orthopaedic surgeon starting from management of fracture to a protracted recovery of the patient.</p><p class="abstract"><strong>Methods:</strong> We have done retrospective study of 25 patients with intra articular distal femur fracture operated during the period of 2008 to 2014. NEER score is used as criteria for evaluation of patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> With use of DFLCP, anatomical reduction and rigid fixation, early mobilization and aggressive physiotherapy can be started with the use of these plates.</p><p><strong>Conclusions:</strong> Our study shows that distal femur locking compression plate (DFLCP) is the evolving approach to treat distal femur fractures.</p>

scholarly journals Outcome of locking compression plate fixation in the management of distal end femur fractures: one year hospital based study

2021 ◽  
Vol 7 (3) ◽  
pp. 597
Author(s):  
Vishal Singh ◽  
Avinash Gundavarapu ◽  
Tejas Patel ◽  
Alokeshwar Sharma
Keyword(s):  
Distal Femur ◽  
Femur Fracture ◽  
Plate Fixation ◽  
Early Mobilization ◽  
Locking Compression Plate ◽  
Prospective Clinical Study ◽  
Distal Femur Fracture ◽  
Excellent Outcome ◽  
Femur Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background: </strong>Distal femur fractures make up 6 to 7% of all femur fractures. Various plating options for distal femur fracture are conventional buttress plates, fixed-angle devices, and locking plates. This study was planned to evaluate and explore locking compression plate fixation in distal end femur fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.</p><p class="abstract"><strong>Methods: </strong>The study was conducted as prospective clinical study in 20 skeletally mature patients with x-ray evidence of distal femur fracture fulfilling inclusion and exclusion criteria, operated with distal femur LCP plating. Patients were assessed radiologically and classified according to distal femur fracture classification and outcome graded as excellent, good, fair and poor based on Lysholm Knee Score.</p><p class="abstract"><strong>Results: </strong>Out of 15 excellent outcome cases, 3 cases were type A1 fracture, 1 case had type A3, 2 cases had type B1 and B2 each, 5 cases had type C2 and 2 cases had type C3 fracture. 1 case with good outcome was type C3. 1 case with fair outcome was type B2. While 3 cases with poor outcome were type A1, A2 and C3.</p><p class="abstract"><strong>Conclusions:</strong> The DF-LCP is an ideal implant to use for fractures of the distal femur. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A and C, osteoporotic and periprosthetic fractures.</p>

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

2019 ◽  
Vol 5 (5) ◽  
pp. 875
Author(s):  
Gaurav Singla
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Locking Plate ◽  
Imaging Modality ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Anatomical Location ◽  
Anatomical Reduction ◽  
Femur Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><p class="abstract"><strong>Conclusions:</strong> 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.</p>

scholarly journals Management of intercondylar femur fracture with distal femur locking compression plate: outcome analysis of 72 cases

2020 ◽  
Vol 6 (5) ◽  
pp. 1022
Author(s):  
Nadeem Ashraf Khan ◽  
A. M. Atif ◽  
Abhinandan Chatterjee
Keyword(s):  
Range Of Motion ◽  
Distal Femur ◽  
Femur Fracture ◽  
Locking Compression Plate ◽  
Open Fractures ◽  
Knee Score ◽  
Compression Plate ◽  
Special Surgery ◽  
Closed Fractures ◽  
Hospital For Special Surgery

<p class="abstract"><strong>Background:</strong> Supra-condylar and inter-condylar fractures of the distal femur account for 7% of all femoral fractures and have always been difficult to treat and regaining full knee function is often difficult. The purpose of this study is to evaluate the functional outcome, fracture healing, complications of distal femoral intercondylar fractures managed by locking compression plate.</p><p class="abstract"><strong>Methods:</strong> Total 72 patients of intercondylar femur fracture were operated by ORIF with distal femur-locking compression plate via the standard swashbuckler approach.<strong> </strong>The functional outcomes were analyzed using modified hospital for special surgery scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> Muller type C2 fracture was the most common fracture type with 50 out of 72 patients. The average range of motion achieved was about 99.03°±24.73° (Closed fractures =105.83°±19.41°and open fractures = 89.50°±28.36°). There was also a significant difference in the duration of operative time, 84.28±18.32 minutes for closed fractures and 98.46±22.47 minutes for open fractures. The average duration for radiological union was 14.52±2.21 weeks for closed and 17.20±2.44 weeks for open fractures. The average knee score was 80.13±13.38 using modified Hospital for Special Surgery score.</p><p class="abstract"><strong>Conclusions:</strong> Closed fractures have a higher range of motion and a better knee score compared to open fractures, supporting the fact that soft tissue compromise also affects range of motion and post-op rehabilitation of the limb. The outcome seems to correlate with the nature of injury i.e. high vs low velocity, type of fracture, anatomic reduction, associated injuries, time elapsed since injury to fixation and the stability of fixation.</p>

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 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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