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

Background: 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.Methods: It was a prospective study on 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.Results: 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°. 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.Conclusions: DF-LCP is an important armamentarium in treatment of distal femur fractures especially when fracture is closed, severely comminuted and in case of osteoporosis.

Download Full-text

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20180459 ◽

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

Background: 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.Methods: 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.Results: 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). Conclusions: 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.

Download Full-text

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20170783 ◽

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

Background: The introduction of locking compression plates with option of locked screws has provided the means to increase the stability of fracture fixation.Methods: 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.Results: 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 109o 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%).Conclusions: 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.

Download Full-text

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

10.36106/ijsr/5133887 ◽

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.

Download Full-text

Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes®)

Journal of the Korean Fracture Society ◽

10.12671/jkfs.2010.23.1.20 ◽

2010 ◽

Vol 23 (1) ◽

pp. 20 ◽

Cited By ~ 1

Author(s):

Kap-Jung Kim ◽

Sang Ki Lee ◽

Won-Sik Choy ◽

Won-Cho Kwon ◽

Do Hyun Lee

Keyword(s):

Surgical Treatment ◽

Femoral Fractures ◽

Locking Compression Plate ◽

Distal Femoral Fractures ◽

Compression Plate ◽

Type C

Download Full-text

A STUDY OF SURGICAL MANAGEMENT OF DISTAL FEMORAL FRACTURES BY DISTAL FEMORAL LOCKING COMPRESSION PLATE OSTEOSYNTHESIS

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2016/769 ◽

2016 ◽

Vol 3 (66) ◽

pp. 3584-3587

Author(s):

Dema Rajaiah ◽

Yerukala Ramana ◽

Kuppa Srinivas ◽

Venkateswar Reddy S

Keyword(s):

Surgical Management ◽

Plate Osteosynthesis ◽

Femoral Fractures ◽

Locking Compression Plate ◽

Distal Femoral Fractures ◽

Compression Plate

Download Full-text

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20203731 ◽

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

Background: 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.Methods: 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.Results: 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.Conclusions: 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.

Download Full-text