scholarly journals A study of surgical management of distal femoral fractures in adults using locking compression plate

2017 ◽  
Vol 3 (2) ◽  
pp. 253
Author(s):  
Srinivas Bachu ◽  
Ramulu L
Keyword(s):  
Surgical Management ◽  
Fracture Fixation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Femoral Fractures ◽  
Knee Extensor ◽  
Locking Compression Plate ◽  
Non Union ◽  
Distal Femoral Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> The introduction of locking compression plates with option of locked screws has provided the means to increase the stability of fracture fixation.</p><p class="abstract"><strong>Methods:</strong> In this study, 30 distal femoral fractures were treated using the distal femoral locking compression plate. All fractures were fresh, closed and operated within 12 days. Follow up duration ranged from 6 to 18 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this study, 20 patients were males and 10 were females. The 23 of the fractures (76.66%), were caused by road traffic accidents, 3 were due to accidental falls (10%), one was due to assault and 3 were due to fall from height.9 patients had associated injuries.  All patients were treated with open reduction and internal fixation using Locking Compression Plate. 6 to 9 holed plates were used. Out of 30 patients 2 went for delayed union and 3 went for non-union. Average knee flexion was 109<sup>o</sup> having knee range of motion more than 100 with 50% patients. Average knee extensor lag was 2.4 degrees with only 4 patients with lag more than 5. 2 patients developed 2 cm shortening. 4 patients had less than 5 degrees of malalignment. 2 patients had deep infection. Functional outcome was measured using NEER's scoring system and was done at the end of 5- 7 months (average of 6 months).  Excellent results- 17 (56.66%) good results-8 (26.66%) fair results-2 (6.66%) poor results-3 (10%).</p><p><strong>Conclusions:</strong> LCP condylar plate represents an evolutionary approach to the surgical management and is an important armamentarium in distal femur fracture fixation, especially when fracture is severely comminuted and in situations of osteoporosis. </p>

scholarly journals Management of distal femur fractures with locking compression plate: a prospective study

2018 ◽  
Vol 4 (2) ◽  
pp. 208
Author(s):  
Sridhar Reddy Konuganti ◽  
Sreenath Rao Jakinapally ◽  
Vennamaneni Pratish Rao ◽  
Sivaprasad Rapur
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Functional Score ◽  
Non Union ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Compression Plate ◽  
The Mean

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Distal femur fractures need to be treated operatively to achieve optimal outcomes. Different types of internal fixation devices have been used but, the number of revisions for non-union, loss of reduction and implant failure has been high.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study reviewed 20 cases of distal femoral fractures surgically managed with distal femoral locking compression plate between December 2013 and December 2015 at Mediciti Institute of medical sciences, Ghanpur, Medchal, tertiary care referral and trauma centre. Fractures were categorized according to OTA classification by Muller</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Highest number of patients was in their 3rd decade (25%) 18 out of 20 patients had closed injury. Type A2 Muller’s fracture was the most common fracture type 7 out of 20 patients (35%).The mean follow up period in this study was 8 months. The average range of knee flexion achieved was about 109°. The mean score 81.75 points were rated using Neer’s functional score (Max 100). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The locking compression plate is the treatment of choice in the management of comminuted distal femoral fractures especially Type A fractures where we have found higher Neer scores. It may not completely solve the age-old problems associated with any fracture like non-union and malunion, but is valuable in the management of these fractures.</span></p><p class="Default"> </p>

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

2019 ◽  
Vol 5 (6) ◽  
pp. 1083
Author(s):  
B. L. Khajotia ◽  
Vikrant Shekhawat ◽  
Shakti Chauhan ◽  
Sunil Bhatiwal
Keyword(s):  
Road Traffic ◽  
Femoral Fractures ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Radiological Results ◽  
Compression Plate ◽  
Clinical And Radiological Outcome ◽  
Clinical And Radiological Results

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> It was a prospective study on<strong> </strong>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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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<sup>°</sup>. 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.</p><p class="abstract"><strong>Conclusions:</strong> DF-LCP is an important armamentarium in treatment of distal femur fractures especially when fracture is closed, severely comminuted and in case of osteoporosis.</p>

scholarly journals SOCIO-DEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF THE PATIENTS SUFFERING FROM DISTAL FEMORAL FRACTURE

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Amit Kumar ◽  
Sanjeev Gupta ◽  
Rameshwar Singh Manhas
Keyword(s):  
Femoral Fracture ◽  
Clinical Characteristics ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Femoral Fractures ◽  
General Information ◽  
Age Group ◽  
Distal Femoral Fracture ◽  
Distal Femoral Fractures ◽  
Medical College

Background: Distal femoral fractures are the fractures which occurs in distal femur involving the intercondylar and supracondylar region. Currently they account for less than 1% of all fractures whereas among femoral fractures they account for 3% to 6%.These fractures are difficult to treat and notorious for the complications. Aim: To find the socio-demographic and clinical characteristics of the patients suffering from distal femoral fracture. Methodology: The present observational and prospective study was conducted in theDepartment of Orthopaedic, Govt. Medical College, Jammu, J&K for period of 1 year on 27 patients. General information including age, sex, residence, religion, marital status, side of fracture etc. were noted on separate sheet. All fractures were classified as per AO/Müller’s classification. Results: Majority of patients i.e. 40.8% were between 18-30 years age group. 66.6% patients were males and only 33.4% were females. 63% patients were from rural area and 37% patients from urban area. Maximum percentage of patients i.e. 59.3% from Hindu community and 66.7% were married. RTA was the most common mode of injury involving 74.1% patients whereas, right limb fractures were most commonly involving 66.7% patients. As per AO/Muller’s classification B3 and C1 were most common fractures affecting 18.6% patients each. Conclusion: From present study we conclude that the distal femoral fractures were more common in young age group and RTA is the most common cause. Hence it is recommended to the authorities to implement strict traffic rules so that over speeding of vehicle can be prevented which may lead to decrease in incidence of high velocity trauma. Key words: Fractures, Road traffic accidents, Injury.

scholarly journals Management of Distal Femoral fractures with Locking Compression Plate- A Prospective study

2021 ◽  
Vol 12 (1) ◽  
pp. 61-68
Author(s):  
Abhijit Maruti Kadam ◽  
Sujay K Mahadik ◽  
Sagar Rampure ◽  
Rahil B Jiwani
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Knee Flexion ◽  
Open Reduction ◽  
Femoral Fractures ◽  
Common Type ◽  
Locking Compression Plate ◽  
Distal Femoral Fractures ◽  
Compression Plate ◽  
Type Of Fracture

Background: Distal femoral fractures are one of the common type of fractures seen after motor vehicular accidents. The optimal management of these fractures requires open reduction and internal fixation by plates and screws. Various studies have shown that open reduction and internal fixation by plates and screws result in early post-operative knee mobilization which is essential for good union and better functional outcome. Aims and Objective: The current study was conducted to evaluate the results of fracture lower end of femur treated by open reduction and internal fixation using locking compression plate. Materials and Methods: This was a prospective clinical study in which the cases with fracture lower end of femur were included on the basis of a predefined inclusion and exclusion criteria. Fractures were categorised by Mullers classification. All patients were treated by distal femoral locking compression plates and screws. The cases were followed up for radiological union and functional outcome (Neer’s scoring). The statistical analysis was done using SSPS 21.0 software. P value less than 0.05 was taken as statistically significant. Results: Out of the 20 studied cases there were 13 (65%) males and 7 (35%) females with a M:F ratio of 1:0.53. Road traffic accidents were the most common cause (75%) of distal femoral fractures. The most common type of fracture seen in studied cases was found to be Mullers C2 type of fracture (45%) followed by Mullers C3 (20%) and Mullers C1 (15%). All patients were treated by open reduction and internal fixation. Mean Injury to surgery interval was found to be 4.25 days in studied cases. Postoperatively desirable knee flexion (1100) was achieved in 10 (50%) cases whereas in 8 patients 910-1090knee flexion was achieved. In 2 (10%) patients less than 900 knee flexion could be achieved. The functional outcome (as assessed by Neer’s score) showed that Good and fair results were seen in 13 (65 %) and 6 (30 %) patients. Poor functional outcome was seen in only 1 (5 %) patient. Conclusion: Locking compression plate is found to have good results in patients with traumatic distal femoral fractures in terms of early mobilization and functional outcome. Particularly in intra-articular fractures it provides good angular stability by its triangular reconstruction principle.

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