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 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.

scholarly journals Assessment of functional outcome of distal femur intra-articular fractures treated with locking compression plate

2019 ◽  
Vol 6 (1) ◽  
pp. 145
Author(s):  
Neetin Pralhad Mahajan ◽  
Ved Ashish Ravesh ◽  
Prasanna Kumar G. S. ◽  
Ajay Chandanwale ◽  
Lalkar Gadod
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Tertiary Care ◽  
Locking Compression Plate ◽  
Care Hospital ◽  
Excessive Bleeding ◽  
Femur Fractures ◽  
Medial Side ◽  
Articular Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Intra-articular distal femoral fracture makes up to 6% of all femur fractures. Because they damage the cartilage surface of the bone, intra-articular fractures can be more difficult to treat. The locking compression plates have nowadays proven to be gold standard in treating both simple as well as complex intra-articular distal femur fractures. This study is to evaluate the complications, functional and anatomical outcome of distal femur fractures, treated by open reduction and internal fixation using distal femoral locking compression plate.</p><p class="abstract"><strong>Methods:</strong> This is<strong> </strong>a retrospective study of 30 patients with intra articular distal femur fractures operated with distal femur locking compression plate during the period of 2015 to 2018 in a tertiary care hospital with age range from 17 to 71 years and follow up till 2 years. Fractures were classified according to AO classification and functional outcome assessed by using Neer criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> 10 cases had excellent score (33%), 16 cases (52%) had satisfactory score, 3 cases (11%) had unsatisfactory score and only one case had poor score.<strong> </strong>85.1% of patients were in between satisfactory to excellent results. Complications observed were excessive bleeding, difficulty in reduction, superficial infections, knee stiffness, malalignment and limb length discrepancy.</p><p class="abstract"><strong>Conclusions:</strong> The distal femur locking compression plate is a good implant to be used for distal femur intra-articular fractures. Early surgery, anatomical reduction and early mobilisation are the prerequisites for good functional outcome. Comminution and bone defect on the medial side needs pillar reconstruction by fibular bone graft.</p>

scholarly journals CASE SERIES -A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF SUBTROCHANTERIC FEMORAL FRACTURES TREATED WITH PROXIMAL FEMORAL LOCKING COMPRESSION PLATE

2020 ◽  
pp. 1-3
Author(s):  
Ajay Krishna ◽  
Thiagrajan Pandian
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
Femoral Fractures ◽  
Good Method ◽  
The Elderly ◽  
Subtrochanteric Fracture ◽  
Locking Compression Plate ◽  
Bone Apposition ◽  
Femur Fractures ◽  
Compression Plate

Background and objective: Subtrochanteric fracture of femur and its complications account for significant morbidity and mortality especially in elderly.Proximal femoral locking compression plate helps in early Range of movements of the patient. Materials and Methods This study was done in SREE BALAJI MEDICAL COLLEGE AND HOSPITAL, CHROMEPETfrom August 2018 to May 2020.During this period 25 cases of adult patients with subtrochanteric fractures were treated with proximal femoral locking compression plate(PFLC). The classification used here was according to Seinsheimers and functional outcome was assessed using Traumatic hip rating score. Results: In our study of 25 patients 65% of them(16 patients) showed excellent results,30%(8 patients) showed good results,5%(1 patient)showed poor result due to Infection. Conclusion: Proximal femoral LCP is a good method for Subtrochanteric femur fractures in the elderly patients especially for severely communited fracture and with osteoporosis. Proximal femoral LCP gives the advantage of flexibility to surgeon to achieve angular stability or axial compression with plate to bone apposition.

scholarly journals DISTAL FEMUR FRACTURES FIXATION BY LOCKING COMPRESSION PLATE-ASSESSMENT OF OUTCOME BY RASMUSSENS FUNCTIONAL KNEE SCORE

2021 ◽  
Vol 9 (09) ◽  
pp. 713-719
Author(s):  
Manjeet Singh ◽  
Keyword(s):  
Functional Outcomes ◽  
Distal Femur ◽  
Locking Plate ◽  
Randomized Study ◽  
Locking Compression Plate ◽  
Medical Sciences ◽  
Entire Study ◽  
Ao Classification ◽  
Femur Fractures ◽  
Compression Plate

Background: The choice of distal femur locking plate in distal femur fractures has been a topic of debate. This study was performed to evaluate theresults of distal femur locking plate in distal femur fractures. Material and Methods: A prospective randomized study of 30 patients with distalfemur fracture was conducted at Department of Orthopaedics, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana(Ambala), Haryana from January 2020 to July 2021 and followed up from 6months to 18 months for a minimum of 6 months duration. Implants used: The distal femur locking compression plate. Classification system: AO Classification. Results & Observations: Clinical and functional outcomes were assessed using Rasmussens functional knee score.Complications of fractures and operative treatment were assessed. The results of entire study group showed 18 excellent, 10 good, 1 fair and 1 poor. Conclusion: We observed and recommend that the distal femur LCP is an optimal tool of good fixation for fractures of distal femur.

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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