Functional Outcome in Distal Femoral Fractures Treated by Locking Compression Condylar Plates: A Short Term Prospective Study

Abstract Background The optimal treatment strategy for the surgical management of femur fractures and non-unions remains unknown. The aim of this study is to assess union rates, complications and outcome after femoral double plating. Treatment of shaft, distal, periprosthetic fractures and pathological proximal femur fractures as well as femoral non-unions with double plating were evaluated. Methods A systematic review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was conducted. Published literature reporting on the treatment and clinical outcome of femoral fractures and non-unions with double plating was identified. In total, 24 studies with 436 cases of double plating, 64 cases of single plating, 84 cases of intramedullary nailing (IM), and 1 interfragmentary screw treatment met the inclusion criteria of this systematic review. The evaluated literature was published between 1991 and 2020. Results Double plating of femoral fractures achieved high healing rates and few complications were reported. It displayed significantly less intraoperative haemorrhage, shorter surgery time reduced risk of malunion in polytraumatised patients when compared to IM. Fracture healing rate of double-plating distal femoral fractures was 88.0%. However, there were no significant differences regarding fracture healing, complication or functional outcome when compared to single plating. Treatment of periprosthetic fractures with double plating displayed high healing rates (88.5%). Double plating of non-unions achieved excellent osseous union rates (98.5%). Conclusions The literature provides evidence for superior outcomes when using double plating in distal femoral fractures, periprosthetic fractures and femoral non-unions. Some evidence suggests that the use of double plating of femoral fractures in polytraumatised patients may be beneficial over other types of fracture fixation. Level of evidence IV.

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FUNCTIONAL OUTCOME OF DISTAL FEMORAL FRACTURES AND THEIR MANAGEMENT

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v5i6.1930 ◽

2021 ◽

Vol 5 (6) ◽

Author(s):

Raman Shrivastava ◽

Namita Shrivastava

Keyword(s):

Functional Outcome ◽

Surgical Techniques ◽

Femoral Fractures ◽

Railway Track ◽

Distal Femoral Fractures ◽

Minimally Invasive Surgical ◽

Fall From Height ◽

Classification Management ◽

A Prospective Study ◽

Jawaharlal Nehru

Background: Fractures of distal end of femur are complex injuries which are difficult to manage. These fractures often are unstable and comminuted. Despite advances in surgical techniques and improvement in implants, treatment of distal femoral fractures remains a challenge in many situations. This study was done to analyse the functional outcome and this management of distal femoral fractures. Material & Methods: This study has been done between August 2008 to March 2010 on patients coming to Orthopaedics Department at Jawaharlal Nehru Hospital and Research Center, Bhilai. It is a prospective study which includes 25 patients with 10 Type A, 7 Type B and 8 Type C fractures of distal femur after fulfilling the inclusion and exclusion criteria. Results: Mean age of 47.08 years with sex incidence of 3.17:1(M:F). Mode of injury was RTA in 16, simple fall in 6, fall from height in 2 and railway track accident in 1 patient. There were 5-A1, 1-A2, 4-A3, 3-B1, 1-B2, 3-B3, 1-C1, 4-C2 and 3-C3 fractures. Results were found to be excellent in 17, good in 1, moderate in 3 and poor in 4 patients. Conclusion: We conclude that minimally invasive surgical techniques and with the availability of locking type of plates distal femoral fractures can now be dealt with more precessions and more satisfactory results can be produced. Keywords: Distal fractures, Muller Classification, Management, Femoral fractures

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Functional Outcome of Resection versus Reconstruction in Mason II-III Radial Head Fractures; A Short-Term Prospective Study

Bulletin of Emergency and Trauma ◽

10.18869/acadpub.beat.5.4.453 ◽

2017 ◽

Vol 5 (4) ◽

pp. 266-272 ◽

Cited By ~ 2

Author(s):

Pradeep Kumar Meena ◽

◽

Sahil Gaba ◽

Sandesh Bobade ◽

Rajendra Verma ◽

...

Keyword(s):

Prospective Study ◽

Functional Outcome ◽

Radial Head ◽

Short Term ◽

Radial Head Fractures

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Functional outcome and mortality in geriatric distal femoral fractures

Injury ◽

10.1016/j.injury.2012.02.014 ◽

2012 ◽

Vol 43 (7) ◽

pp. 1096-1101 ◽

Cited By ~ 50

Author(s):

C. Kammerlander ◽

P. Riedmüller ◽

M. Gosch ◽

M. Zegg ◽

U. Kammerlander-Knauer ◽

...

Keyword(s):

Functional Outcome ◽

Femoral Fractures ◽

Distal Femoral Fractures

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Analytic study of functional outcome of retrograde intramedullary nailing for distal femoral fractures in adults

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20212430 ◽

2021 ◽

Vol 7 (4) ◽

pp. 824

Author(s):

Srujith Kommera ◽

Pradeep Reddy ◽

Saba Khaleel

Keyword(s):

Range Of Motion ◽

Functional Outcome ◽

Intramedullary Nailing ◽

Weight Bearing ◽

Femoral Fractures ◽

X Rays ◽

Fracture Union ◽

Distal Femoral Fractures ◽

Retrograde Intramedullary Nailing ◽

Articular Fractures

Background: The purpose of this Study was to evaluate the clinical and functional outcome of retrograde intramedullary nailing for distal femur fractures.Methods: This 2 years observational study was done between December 2018 to January 2021, 60 patients with distal femoral fractures were surgically treated at our hospital using retrograde intramedullary nail. The patient was placed supine on fracture table with affected limb flexed to 60 degrees. Through a Transpatellar approach, the nail was introduced in retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight bearing was progressed after signs of fracture union were noted on x-rays. The outcome was evaluated for time taken for fracture union, complications and functional outcome with various types of fractures.Results: All the fractures in the present study healed at an average of 13 weeks. However 25 to 40% of these patients underwent bone grafting primarily with reports of delayed union and non-union. Shortening occurred in two patients (3.33%) did affect the final functional outcome. average range of motion is 120 deg. for all fractures, 119 deg. for extra-articular fractures and 118 deg. for intra-articular fractures. Infection rates are low (0% to 8%).Conclusions: The study shows distal femoral fractures were common due to high velocity injuries, retrograde nailing is an excellent technique for management of distal femoral fractures as it promotes high rate of fracture union with less complications.

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