scholarly journals A prospective study of treatment of distal femur fractures with locking condylar plate

2017 ◽  
Vol 3 (6) ◽  
pp. 1117 ◽  
Author(s):  
Y. Bhanu Rekha ◽  
N. Brahmananda Reddy
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Dynamic Compression ◽  
Femoral Fractures ◽  
Type A ◽  
X Rays ◽  
Distal Femoral Fractures ◽  
Articular Fractures ◽  
Type C ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Multiple implants are available to treat distal femoral fractures. The recent addition is the locking plate contoured to the distal femur with combiholes in the proximal portion. Though it is established that locking plates offer higher stability than the previous implants like dynamic compression screw or condylar buttress plate, some studies showed higher incidence of delayed union. We evaluated 30 type A and type C distal femoral fractures treated with locking condylar plate in our institutes.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We conducted a prospective study on 30 consecutive patients with fractures of distal femur operated with locking condylar plate from December, 2015 to February, 2017. Patients were regularly followed up with x-rays and clinical examination. At the end of one year follow-up, patients were evaluated with Pritchett score</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Fracture union was seen in all patients. Union was faster in type A fractures than in type C intra articular fractures. 67% of patients achieved excellent to good grading according to Pritchett rating system. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Locking condylar plate is effective in treating distal femoral fractures with minimal complications.</span></p>

scholarly journals Analytic study of functional outcome of retrograde intramedullary nailing for distal femoral fractures in adults

2021 ◽  
Vol 7 (4) ◽  
pp. 824
Author(s):  
Srujith Kommera ◽  
Pradeep Reddy ◽  
Saba Khaleel
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
X Rays ◽  
Fracture Union ◽  
Distal Femoral Fractures ◽  
Retrograde Intramedullary Nailing ◽  
Articular Fractures

<p class="abstract"><strong>Background: </strong>The purpose of this Study was to evaluate the clinical and functional outcome of retrograde intramedullary nailing for distal femur fractures.</p><p class="abstract"><strong>Methods: </strong>This 2 years observational study was done between December 2018 to January 2021, 60 patients with distal femoral fractures were surgically treated at our hospital using retrograde intramedullary nail. The patient was placed supine on fracture table with affected limb flexed to 60 degrees. Through a Transpatellar approach, the nail was introduced in retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight bearing was progressed after signs of fracture union were noted on x-rays. The outcome was evaluated for time taken for fracture union, complications and functional outcome with various types of fractures.</p><p class="abstract"><strong>Results: </strong>All the fractures in the present study healed at an average of 13 weeks. However 25 to 40% of these patients underwent bone grafting primarily with reports of delayed union and non-union. Shortening occurred in two patients (3.33%) did affect the final functional outcome. average range of motion is 120 deg. for all fractures, 119 deg. for extra-articular fractures and 118 deg. for intra-articular fractures. Infection rates are low (0% to 8%).</p><p class="abstract"><strong>Conclusions: </strong>The study shows distal femoral fractures were common due to high velocity injuries, retrograde nailing is an excellent technique for management of distal femoral fractures as it promotes high rate of fracture union with less complications.</p>

scholarly journals Our experience with DF-LCP in the treatment of distal femoral fractures: A prospective study of 30 cases

2019 ◽  
Vol 3 (1) ◽  
pp. 50-56
Author(s):  
Dr. Sudhir KAM Shandilya ◽  
Dr. Srinaresh Karna Irrinki ◽  
Dr. Vulligadla Lavanya ◽  
Dr. Tirumalesh CH ◽  
Dr. Meghanapriyadarshini .
Keyword(s):  
Prospective Study ◽  
Femoral Fractures ◽  
Distal Femoral Fractures ◽  
A Prospective Study

scholarly journals Efficacy of dynamic condylar screw for the treatment of distal femoral fractures: a prospective study

2020 ◽  
Vol 6 (1) ◽  
pp. 41-45
Author(s):  
Ashwin Kasturi ◽  
◽  
S V L Narasimba Reddy ◽  
K Srinivas Yadav ◽  
◽  
...  
Keyword(s):  
Prospective Study ◽  
Femoral Fractures ◽  
Distal Femoral Fractures ◽  
Dynamic Condylar Screw ◽  
A Prospective Study

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

2019 ◽  
Vol 5 (3) ◽  
pp. 478
Author(s):  
P. Sai Vikranth ◽  
V. Chaitanya ◽  
Vamshi Varenya N.
Keyword(s):  
Prospective Study ◽  
Treatment Options ◽  
Age Groups ◽  
Femoral Fractures ◽  
Functional Results ◽  
Locking Compression Plate ◽  
Male And Female ◽  
Distal Femoral Fractures ◽  
Compression Plate ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Distal femoral fractures are extremely common and represent 6-8% of all the femoral fractures treated by orthopaedic surgeons. Near anatomical reduction is most important in these fractures to obtain near good functional results. A variety of treatment options are proposed for distal femoral fractures of the treatment with distal femoral LCP has yielded good results. In this study we did a prospective study of 30 patients treated with locking compression plates.</p><p class="abstract"><strong>Methods:</strong> There were 30 patients both male and female of different age groups treated by plate. All the patients were followed up in orthopaedic department prospectively for 12 months between November 2017 to November 2018. The functional and radiological outcomes were assessed.<strong></strong></p><p class="abstract"><strong>Results:</strong> The study included 30 patients both male and female in age group between 20 and above 60. Average follow up was 12 months using Neer’s scoring system we had excellent 60%, good 26.6%, fair 6.7%, poor 6.7%.</p><p class="abstract"><strong>Conclusions:</strong> The locking compression plate along with active physiotherapy proved to be better for distal femoral fractures.</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>

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