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

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.

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

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

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">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.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">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</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">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). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">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.</span></p><p class="Default"> </p>

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 Minimally invasive plate osteosynthesis with dual plating for periprosthetic distal femoral fractures following total knee arthroplasty

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yong-Geun Park ◽  
Hyunseong Kang ◽  
Jung-Kook Song ◽  
Jaehwang Lee ◽  
Joseph Y. Rho ◽  
...  
Keyword(s):  
Distal Femur ◽  
Callus Formation ◽  
Plate Osteosynthesis ◽  
Femoral Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Dual Plating ◽  
Total Knee

Abstract Introduction Adequate treatment for periprosthetic distal femur fractures is challenging because of various reasons, including severe osteoporosis and distal fragments that are too small or too distal. We have introduced a new surgical technique for dual plating of periprosthetic distal femur fractures following total knee arthroplasty (TKA) and determined the clinical and radiological outcomes of minimally invasive plate osteosynthesis (MIPO) with a dual locking compression plate (LCP). Materials and methods Between January 2010 and July 2019, 18 patients [mean age, 74.8 (68–89) years; average follow-up period, 14.8 (12–43) months] underwent MIPO with distal femoral LCP laterally and proximal humeral internal locking system (PHILOS) medially for periprosthetic distal femoral fractures following TKA. The minimum follow-up was 1 year. The clinical and radiological outcomes were assessed using the modified WOMAC scores, knee range of motion, time to callus formation, time to union, and complications of malunion, nonunion, and shortening. Results The average time to union was 18.4 weeks (range, 10–51 weeks) and to callus formation was 7.8 weeks (range, 2–14 weeks). At the 1-year follow-up, the average JLETS was 37.6 (range, 24–53), average knee ROM was 110.3° (range, 80–135°), and average varus-valgus angles of the distal femur were 3.2° (range, −2.9–10.5°). No nonunion, broken plates, or implant failure occurred. Malunion occurred in three patients. Conclusion MIPO with dual LCP is a reliable method for stabilizing periprosthetic distal femoral fractures following TKA, with satisfactory bone union rates and low complication rates.

scholarly journals Minimally Invasive Plate Osteosynthesis with Dual Plating for Periprosthetic Distal Femoral Fractures Following Total Knee Arthroplasty

2020 ◽  
Author(s):  
Yong-Geun Park ◽  
Hyunseong Kang ◽  
Jung-Kook Song ◽  
Jaehwang Lee ◽  
Joseph Y. Rho ◽  
...  
Keyword(s):  
Distal Femur ◽  
Callus Formation ◽  
Plate Osteosynthesis ◽  
Femoral Fractures ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Dual Plating ◽  
One Year

Abstract Introduction: Adequate treatment for periprosthetic distal femur fractures is challenging because of various reasons, including severe osteoporosis and distal fragments that are too small or too distal. We have introduced a new surgical technique for dual plating of periprosthetic distal femur fractures following total knee arthroplasty (TKA) and determined the clinical and radiological outcomes of minimally invasive plate osteosynthesis (MIPO) with a dual locking compression plate (LCP). Materials and methods: Between January 2010 and July 2019, 18 patients [mean age, 74.8 (68–89) years; average follow-up period, 14.8 (12–43) months)] underwent MIPO with distal femoral LCP laterally and proximal humeral internal locking system (PHILOS) medially for periprosthetic distal femoral fractures following TKA. The minimum follow-up was one year. The clinical and radiological outcomes were assessed using the modified WOMAC scores, knee range of motion, time to callus formation, time to union, and complications of malunion, nonunion, and shortening.Results: The average time to union was 18.4 weeks (range, 10–51 weeks) and to callus formation was 7.8 weeks (range, 2–14 weeks). At the one-year follow-up, the average JLETS was 37.6 (range, 24–53), average knee ROM was 110.3° (range, 80°–135°), and average varus-valgus angles of the distal femur were 3.2° (range, -2.9°–10.5°). No nonunion, broken plates, or implant failure occurred. Malunion occurred in three patients.Conclusion: MIPO with dual LCP is a reliable method for stabilizing periprosthetic distal femoral fractures following TKA, with satisfactory bone union rates and low complication rates.

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

2019 ◽  
Vol 5 (6) ◽  
pp. 1083
Author(s):  
B. L. Khajotia ◽  
Vikrant Shekhawat ◽  
Shakti Chauhan ◽  
Sunil Bhatiwal
Keyword(s):  
Road Traffic ◽  
Femoral Fractures ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Radiological Results ◽  
Compression Plate ◽  
Clinical And Radiological Outcome ◽  
Clinical And Radiological Results

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> It was a prospective study on<strong> </strong>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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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<sup>°</sup>. 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.</p><p class="abstract"><strong>Conclusions:</strong> DF-LCP is an important armamentarium in treatment of distal femur fractures especially when fracture is closed, severely comminuted and in case of osteoporosis.</p>

“FUNCTIONAL OUTCOME OF RETROGRADE NAILING IN THE MANAGEMENT OF SUPRACONDYLAR AND DISTAL FEMORAL FRACTURE”

2021 ◽  
pp. 107-109
Author(s):  
Avinash Kumar Choudhary ◽  
M.K Aseri ◽  
Sumit Machra ◽  
Devendra Singh
Keyword(s):  
Femoral Fracture ◽  
Distal Femur ◽  
Femoral Fractures ◽  
High Energy ◽  
Valgus Deformity ◽  
Minor Trauma ◽  
Rating Score ◽  
Joint Congruency ◽  
Distal Femoral Fractures

INTRODUCTION: Fractures of the Distal femur are complex injuries that pose a challenge to the orthopaedic surgeon. It constitutes about 6 % of all femoral fractures. It usually occurs during high energy trauma in younger patients and frequently are associated with concomitant injuries. In contrast, elderly patients with severe osteopenia might sustain solitary distal femoral fractures from minor trauma such as a simple fall. Proper diagnosis and treatment leads to early mobilization and rehabilitation of patients. MATERIAL AND METHODS :This prospective study was conducted in Department of Orthopedics at Dr. S. N. Medical College and Associated group of Hospital, Jodhpur ,Rajasthan ,India on 30 patients who underwent the surgery with retrograde intramedullary interlocking nail in the management of extra-articular supracondylar femoral fracture from August 2019 to November 2020. On follow up axial alignment was assessed and functional analysis was quantied using NEERS RATING SYSTEM, Radiographs was analyzed for correction, maintenance of position or loss of reduction. function around knee was accessed according to Schatzker and Lambert Criteria, measures the exion/extension , varus/valgus deformity , joint congruency and pain in operated patients. RESULTS: In our study 30 patients with supracondylar & distal femoral fractures based on AO Classication on MULLER ET AL underwent retrograde supracondylar nail, long term nal result were rated using NEER'S RATING SCORE , which gives point for pain, function, working, joint movement ,gross and radiological appearance. NEER'S RATING SCORE assigned for each patient after 24 weeks of follow up. After accessing this score out of total 30 patients, 10 have excellent score, 10 have good score, 8 have fair score and next 2 have poor score. Function around knee was accessed according to Schatzker and Lambert Criteria, measures the exion/extension , varus/valgus deformity , joint congruency and pain in operated patients,out of 30 patients 9 patients have an excellent result , 8 have good ,12 have fair and only 1 patient have poor result CONCLUSION:The retrograde intramedullary locked nail provides the surgeon with a different option in treatment of specic supracondylar fracture patterns. It offers a practical advantages of simple and efcient technique for patients with polytrauma, oating knee injuries and in elderly. this technique is very useful in distal femur fracture where antegrade nailing does not provide stability and also where plate xation is not suitable due to soft tissue condition.

scholarly journals Supracondylar fracture of femur: our experience of treatment with locking compression plate from rural Maharashtra

2019 ◽  
Vol 5 (2) ◽  
pp. 232
Author(s):  
Kiran P. Paknikar ◽  
Shekhar Malve ◽  
G. S. Kulkarni ◽  
M. G. Kulkarni ◽  
S. G. Kulkarni ◽  
...  
Keyword(s):  
Femoral Fractures ◽  
Healing Time ◽  
Locking Compression Plate ◽  
Supracondylar Fracture ◽  
Osteoporotic Bone ◽  
Complication Rates ◽  
Compression Plate ◽  
Post Graduate Institute ◽  
Metaphyseal Fractures ◽  
Prospective Longitudinal

<p class="abstract"><strong>Background:</strong> Surgical treatment of supracondylar or intercondylar distal femoral fractures (AO/OTA types 33-A to 33-C) remains a significant surgical challenge with significant complication rates. Supracondylar and intercondylar fractures of femur are very often difficult to treat and they are notorious for many complications. We have studied use of LCP (locking compression plate) in the treatment of metaphyseal fractures. These implants improve fracture healing, especially in osteoporotic bone due to better holding capacity. Objective wass to assess the efficacy of LCP in maintenance of post-operative distal femoral alignment and in preventing post-operative varus collapse in supracondylar fracture of femur.</p><p class="abstract"><strong>Methods:</strong> Prospective Longitudinal observational study Conducted at Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra involving 50 patients with supracondylar fracture. The fractures were classified as supracondylar femur fracture (AO/OTA type 33) (A- C). Fractures that were supracondylar with significant proximal fracture extension were classified as an AO/OTA type 33 fracture unless there was a separate diaphyseal fracture. Data was analysed by using SPSS 16.0 version and expressed as percentages.<strong></strong></p><p class="Body"><strong>Results:</strong> Majority of patients were from 30-39 years age group i.e. 32%. Majority of patients were males i.e. 46 (92%). 7 (14%) patients had healing time &lt;4 months. 24 (48%) patients had healing time between 4-6 months. 19 (38%) patients had healing time more than 6 months. To assess the overall results, we used Knee society score. In 38% of patients, we found excellent results. Good and fair results were seen in 32% and 26% of patients.</p><p class="abstract"><strong>Conclusion: </strong>Locking compression plate is an ideal implant for fixation of supracondylar fracture of femur 33 (A-C) especially in C3 type where articular comminution is present.</p>

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