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.

EVALUATION OF RESULTS OF DISTAL FEMUR LOCKING PLATE IN DISTAL FEMUR FRACTURES

2021 ◽  
pp. 9-12
Author(s):  
Hemeshwar Harshwardhan ◽  
Sumit Raj
Keyword(s):  
Functional Outcomes ◽  
Distal Femur ◽  
Locking Plate ◽  
Femur Fracture ◽  
Randomized Study ◽  
Knee Score ◽  
Entire Study ◽  
Medical College ◽  
Femur Fractures ◽  
Classi Cation

Background: The choice of distal femur locking plate in distal femur fractures has been a topic of debate. This study was performed to evaluate the results of distal femur locking plate in distal femur fractures. A prospective Material and Methods : randomized study of 30 patients with distal femur fracture was conducted at Department of Orthopaedics, JLN Medical College, Ajmer from January 2019 to July 2020 and followed up from 6 months to 18 months for a minimum of 6 months duration. The distal femur locking compres Implants used : sion plate. Classification system : AO Classication. Clinical and functional outcomes were assessed using Ra Results & Observations : smussen's 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 xation for fractures of distal femur.

scholarly journals Clinical and functional outcomes of surgical management of distal femur fractures using distal femur locking compression plate

2017 ◽  
Vol 3 (2f) ◽  
pp. 576-582 ◽  
Author(s):  
Dr. Jay Dhariwal ◽  
Dr. Ashok Kumar ◽  
Dr. Anurag Chhabra ◽  
Dr. Sunil Yadav ◽  
Dr. Mayank Dutta ◽  
...  
Keyword(s):  
Surgical Management ◽  
Functional Outcomes ◽  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Compression Plate

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 MANAGEMENT OF DISTAL FEMUR FRACTURES IN ADULT WITH LOCKING COMPRESSION PLATE

2021 ◽  
Vol 9 (01) ◽  
pp. 895-902
Author(s):  
Mohammed Moustafa Hamid Ali Nasser ◽  
◽  
Ali Tawfik Elalfy ◽  
Mohammed Elsadek Atia ◽  
Sameh Mohammed Holail ◽  
...  
Keyword(s):  
Distal Femur ◽  
Locking Plate ◽  
Plate Fixation ◽  
High Energy ◽  
Locking Compression Plate ◽  
University Hospitals ◽  
High Energy Trauma ◽  
Emergency Hospital ◽  
Femur Fractures ◽  
Compression Plate

Objective: To evaluate the clinical outcomes and radiological union of distal third femur fractures by using distal femur locking plate, in Zagazig university hospitals and KafrSaad emergency hospital. Design: Clinical trial. Methods: Data collected for the study was from the patients admitted in orthopedic department in Zagazig university hospitals and KafrSaad emergency hospital, with distal femur fracture AO 33,during the period of August 2019 to July 2020 and treated with open reduction and internal fixation with distal femur locking compression plate with 4.5 system. All patients were followed up for an average of 6 months. Outcomes were assessed by Neers score. Results: Outof 12 patients (4 were females&8were males), mean age was 45.6 years (20 to 70 years). 10 cases wereduo to high energy trauma and 2 cases wereduo to low high energy trauma.5 out of total 12 cases had open fractures and rest 7 cases had closed fractures.Out of total 12 cases, five cases were extra-articular and rest 7 cases were intra-articular. Out of 12 fractures treated, 8 fractures showed radiological signs of union within 12-16 weeks,3 fractures showed radiological signs of union within 20 weeks and one fracture showed radiological signs of union within 24 weeks.1 patient got superficial infection and no implantfailure, mean range of motion of all patients was 113°. Conclusion:ORIF of distal femur fractures with locking compression plate provides good angular stability, restoration of limb alignment, length, rotation and give a good purchase in osteoporotic patientswith minimal complications. Best results are optioned when standard protocol of locking plate fixation is followed with good soft tissue care, early knee bending exercises and physiotherapy.

Treatment of Distal Femur Fractures With the DePuy-Synthes Variable Angle Locking Compression Plate

2019 ◽  
Vol 33 (9) ◽  
pp. 432-437 ◽  
Author(s):  
Tyler C. McDonald ◽  
Joella J. Lambert ◽  
R. Miles Hulick ◽  
Matthew L. Graves ◽  
George V. Russell ◽  
...  
Keyword(s):  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Variable Angle ◽  
Compression Plate

scholarly journals A comparative study between proximal femur locking compression plate and dynamic hip screw fixation in management of intertrochantric femur fractures

2016 ◽  
Vol 2 (4) ◽  
pp. 327
Author(s):  
Mithlesh Kumar Meena ◽  
Vinay Joshi
Keyword(s):  
Locking Plate ◽  
Locking Compression Plate ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Trochanteric Fractures ◽  
Superficial Infection ◽  
Femur Fractures ◽  
Compression Plate ◽  
Hip Screw ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Proximal femur fractures are one of the commonest fracture encountered in orthopaedic trauma practice. Dynamic hip screw (DHS) is the gold standard procedure for treatment for stable intertrochanteric  fractures, however problem arises with unstable fractures in maintenance of neck shaft angle and proper reduction. Here we are giving results of trochanteric fractures treated with proximal femoral locking compression plate (PFLCP) as compared with dynamic hip screw (DHS).</p><p class="abstract"><strong>Methods:</strong> This study was a prospective study. Two groups of trochanteric fractures of 25 patients operated with DHS and LCP were taken. Each patient was followed-up from July 2011 to October 2012 for minimum of 12 month or till the bony union.<strong> </strong>Every fracture was classified according to AO classification. Functional results will be assessed as per modified Harris hip evaluation score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 25 patient treated with PFLCP, length discrepancy was .857 cm while that for DHS was 1.2 cm. The mean time of unaided walking with LCP Was 14.20 weeks while for DHS it was 16.20 weeks. The mean varus angulation for LCP 8 degree while for DHS 10.2 degree. In LCP in 1 case screw cut out from head and neck of femur while in DHS, same is seen in 2 cases and in addition loss of position of lag screw seen in 5 cases.one case was found with superficial infection in LCP while in case of DHS 3 cases with deep infection for that implant was removed and 6 cases were found with superficial infection.</p><p><strong>Conclusions:</strong> Proximal femoral locking plate (PFLCP) is simple, stable for fixation with fewer complications, and is an effective method for unstable intertrochanteric fractures.  Comparing with DHS group, the locking plate has shorter operative time, fewer blood loss and drainage.</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.

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