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 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 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 RETROGRADE INTRAMEDULLARY SUPRACONDYLAR NAILING AND DISTAL FEMORAL LOCKING COMPRESSION PLATE IN THE MANAGEMENT OF DISTAL FEMUR FRACTURES – A COMPARATIVE STUDY

2021 ◽  
pp. 97-99
Author(s):  
NARSIMHULU SY ◽  
HARI KUMAR S
Keyword(s):  
Blood Loss ◽  
Distal Femur ◽  
Road Traffic ◽  
Damage Control ◽  
Plate Fixation ◽  
Locking Compression Plate ◽  
Supracondylar Fractures ◽  
Fracture Union ◽  
Femur Fractures ◽  
Compression Plate

Objectives: The objective of the study is to assess the efficacy of retrograde intramedullary interlocking supracondylar nailing and distal femoral locking compression plate in the management of distal femur fractures. Methods: The present prospective study consists of a total of 36 cases with extra-articular supracondylar fractures of the femur between the age group of 21–70 years. Participants were randomly allocated to group 1 treated with distal femoral locking compression plate fixation and group 2 treated with retrograde intramedullary interlocking supracondylar nailing technique. Post-operatively, all the cases were followed up in regular intervals to assess the functional outcome using the American Knee Society score. Results: Road traffic accidents (80.56%) were the most common cause of injury. The average surgical duration (108 min and 90.14 min), duration of fracture union (12.48 weeks and 11.08 weeks), and blood loss (339.8 ml and 236.6 ml) was better in the nailing group than the plating group, respectively. The overall outcome was comparable between the two study groups. Conclusion: The supracondylar nailing technique has better functional outcomes in terms of less fracture union time, less operative duration, and minimal operative blood loss. Supracondylar nailing technique was effective and better in soft tissue damage control.

scholarly journals Surgical Management of Distal Femur Fracture Using Anatomical Locking Compression Plate

2021 ◽  
Vol 13 (02) ◽  
pp. 176-181
Author(s):  
Aditya K. Agrawal ◽  
Anirudh Bansal ◽  
Sudheer Rawat ◽  
Shubham Kapadiya ◽  
Sarvang Desai ◽  
...  
Keyword(s):  
Surgical Management ◽  
Distal Femur ◽  
Femur Fracture ◽  
Locking Compression Plate ◽  
Distal Femur Fracture ◽  
Compression Plate

scholarly journals Results of Surgical Management of Highly Unstable Complex Distal Femur Fractures with Distal Femoral Locking Compression Plate Fixation: A Prospective Study of 58 Cases

2020 ◽  
pp. 11-16
Author(s):  
Dr. Rajesh Kumar Sharma ◽  
Dr. Rajesh Goel
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Plate Fixation ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Institutional Ethics ◽  
Compression Plate ◽  
One Year ◽  
A Prospective Study

Background: The optimal treatment of complex distal femur fractures always remains 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 or complex distal femurfractures and to determine the influencing factors of an unfavorable outcome. Methods: After obtaining approval from the institutional ethics committee, 58 patients with complex distal femur were managed by open reduction and internal fixation with DF-LCP through lateral approach and as per standard protocol. The follow-up results were analyzed clinically and radiologically, using the “ Schatzker and Lambert criteria” at once in a month for the first three months, once in three months upto one year and once in six months after that up to two years.

scholarly journals Surgical outcome of distal femur fracture by locking compression plate

2016 ◽  
Vol 2 (4d) ◽  
pp. 233-239
Author(s):  
Vishwanath C ◽  
◽  
Harish K ◽  
Gunnaiah KG ◽  
Chetan Kumar ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Distal Femur ◽  
Femur Fracture ◽  
Locking Compression Plate ◽  
Distal Femur Fracture ◽  
Compression Plate
Sign in / Sign up

Export Citation Format

Share Document