Evaluation of functional outcome after open reduction and internal fixation of distal femur fractures by locking compression plate

Background: the aim of the study was to the functional and radiological outcome of fracture of distal femur treated by open reduction and internal fixation with locking compression plate.Methods: A prospective cohort study was conducted on patients admitted in orthopedic department in government medical college, Jammu with distal femur fracture AO 33A, AO 33B and AO 33C during the period of June 2019 to February 2021 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. Outcome was assessed by Neer’s score.Results: The 42 patients (18 female and 24 males), mean age was 45 years (18 to 62 years) 26 cases were high energy trauma and out of 26, 8 patients had type I compound wound as per Gustilo Anderson classification and remaining 16 patients had trivial trauma. Out of 42 fractures treated, 38 fractures showed radiological signs of union within 6 months, remaining 3 cases showed delayed union which united completely by end of 10 months. One patient required bone grafting, 3 patients got infected, 2 implant failure, mean range of motion of all patients were 110 degrees.Conclusions: Open reduction and internal fixation of distal femur fractures with locking compression plate provides the good angular stability, prevents varus collapse and is gratefully helpful in osteoporotic patients.

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FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION WITH A LOCKING COMPRESSION PLATE: A CROSS SECTIONAL STUDY

Journal of medical pharmaceutical and allied sciences ◽

10.22270/jmpas.v10i4.1407 ◽

2021 ◽

Vol 10 (4) ◽

pp. 3266-3269

Author(s):

Abhishek Patil

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Proximal Humerus ◽

Constant Score ◽

Locking Compression Plate ◽

Proximal Humerus Fractures ◽

Compression Plate ◽

Humerus Fractures ◽

The Mean

Proximal humerus fractures account for about 4% to 5% of all fractures. Following distal forearm fracture, proximal humeral fracture is the second most common upper extremity fracture. Kirschner (K)-Wires, external fixation, tension band wiring, and rush pins, intramedullary nails, ORIF with plates, and shoulder hemiarthroplasty have all been offered as therapeutic options. The purpose of this study was to assess the functional outcome and complication rates following internal fixation of proximal humerus fractures using a locking compression plate. Patients over the age of 18 with closed proximal humerus fractures or open proximal humerus fractures (Gustilo and Anderson type I, Type II) received open reduction and internal fixation with locking compression plate in the current study. The participants in this study were 60 people who had a proximal humerus fracture and were treated with open reduction and a proximal humerus locking compression plate. Patients ranged in age from 20 to 85 years old, with a mean age of 51.14 +/- 17.30 years. The age group 36–55 years (37 percent) was the most prevalent, followed by 56–75 years (30 %). The majority of patients (76.7 %) were men who had been in automobile accidents on the right side (83 %) (63 %). According to the Neer classification, the most prevalent type of fracture was a three-part fracture (53 %). The maximum union time observed in this study was 16 weeks, with a minimum of 10 weeks. The average time to union is 12.52 +/- 1.14 weeks. The mean flexion at the end of six months was 121.660 +/- 19.84. The mean internal rotation was 57.330 +/- 8.48, the mean external rotation was 530 +/- 11.98, and the mean abduction was 1180 +/- 19.36. 75.28 +/- 9.66 [Mean +/- SD] is the Mean Constant score. Pain 14.10, ADL 18.26, range of motion 22.46, and power 20 were the mean scores observed on Constant Score for its various aspects. According to the Constant score, the functional outcome of the 60 patients was as follows: 8 patients had excellent outcomes (13%), 34 patients had good outcomes (56.7%), 16 patients had moderate outcomes (26.7%), and two patients had poor outcomes (26.7%) and (3 %). Internal fixation of proximal humerus fractures with a locking compression plate results in anatomical reduction and secure fixation, resulting in a favorable functional outcome.

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Comparative study of functional outcome of minimally invasive plate Osteosynthesis versus open reduction and internal fixation with locking compression plate in distal 1/3rd shaft tibia fractures (Extraarticular)

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2019.v5.i4c.1664 ◽

2019 ◽

Vol 5 (4) ◽

pp. 149-152

Author(s):

Dr. Sanjeev Sreen ◽

Dr. Girish Sahni ◽

Dr. Sanjeev Kumar ◽

Dr. Ayush Kumar Jain ◽

Dr. Tarun Behl

Keyword(s):

Minimally Invasive ◽

Comparative Study ◽

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Plate Osteosynthesis ◽

Locking Compression Plate ◽

Minimally Invasive Plate Osteosynthesis ◽

Compression Plate ◽

Tibia Fractures

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Assessment of efficacy of locking compression plate in distal femur fractures

International Surgery Journal ◽

10.18203/2349-2902.isj20213214 ◽

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.

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Management of Distal Femoral fractures with Locking Compression Plate- A Prospective study

Asian Journal of Medical Sciences ◽

10.3126/ajms.v12i1.30981 ◽

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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A clinical study in distal femur fractures management with locking compression plate without C-arm images

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20193828 ◽

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

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

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

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20195814 ◽

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

Background: 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.Methods: This is 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.Results: 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. 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.Conclusions: 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.

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