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

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

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 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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