Abstract
Periarticular fractures around the knee joint are treated traditionally by locking plates which provide excellent stability but suppress callus formation. Far cortical locking (FCL) screws allow axial motion and enhance uniform callus formation. Our study aims to evaluate the outcomes of FCL screws in traditional locking plate in periarticular fractures of the knee. Thirty patients with periarticular fractures of the knee joint were operated with locking plate using FCL screws. All patients were evaluated clinically and radiographically using X-rays at 6, 12, 24weeks, 1year and with CT scan at 12-weeks follow-up. The average time for complete union was 20weeks in tibial fractures and 24weeks in femur fractures. Average time to full weight bearing ambulation was 4.8 ± 0.93weeks. One patient had delayed union in which union was complete after 9months. This study shows that FCL screws in locking plates allow uniform callus formation and fracture union with minimal complication rates.
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