Abstract
Distal femoral fractures are difficult to treat and ideal treatment of such fractures will include anatomical reduction, rigid fixation of articular surfaces and early mobilization of knee joint. The purpose of the study is to evaluate the end results of surgical management of fracture of distal end of femur using various surgical modalities and analyze the complications and the causes of fractures.
 Materials and methods: A Retrospective Study of 75 patients were evaluated from tertiary hospital for a period of july 2007 to July 2009. There were 75 fractures in 75 patients involving the distal femur, which were treated surgically by internal fixation using various surgical modalities.
 Results: At the end of study, the cases were followed up for an average period of 15.6 months and functional results were evaluated using modified Schatzker and Lambert (1982) criteria. 36 cases were fixed with Supra Condylar nail ( SC nail), 20 cases were fixed with dynamic Condylar screw(DCS), 6 cases were fixed with Dynamic Compression Plate(DCP), 6 cases were fixed with Cancellous Screw, 4 cases were fixed with Enders Nail, 3 cases were fixed with Ext. Fixator
 Conclusion; Fractures of distal femur can be very effectively treated by surgical methods. The satisfactory osteosynthesis of fractures and stable osteosynthesis is achieved by the right approach and correct surgical technique.
 Keywords: distal femur fracture, internal fixation, dynamic condylar screws, supracondylar femur nail
Highlights
The two major pandemics of modern era: Obesity & RTA have recorded an alarming increase in new millennium
At the end of study, the cases were followed up for an average period of 15.6 months and functional results were evaluated using modified Schatzker and Lambert (1982) criteria. 36 cases were fixed with Supra Condylar nail ( SC nail), 20 cases were fixed with dynamic Condylar screw(DCS), 6 cases were fixed with Dynamic Compression Plate(DCP), 6 cases were fixed with Cancellous Screw, 4 cases were fixed with Enders Nail, 3 cases were fixed with Ext
Various treatment modalities used such as Close Reduction and internal fixation done with Ender's Nail, Supracondylar Antegrade Inter Lock and Open Reduction and internal fixation with Dynamic Condylar Screw Fixation (DCS), K-Nail, DCP depending upon individual case presentation
Summary
The two major pandemics of modern era: Obesity & RTA have recorded an alarming increase in new millennium. These often involve the lower limbs, and femoral shaft fractures are among most common serious injury. Distal femur fracture contributes 4% of all femoral fractures (1). The superconductor area of femur comprises of distal 9 centimetres of femur as measured from articular surface. The fracture has bimodal age distribution, incidents being highest in woman older than 75 years caused by minor trauma due to osteoporosis and in adolescent boys and men 15 to 24 years old caused by high energy trauma as RTA. The mechanism of injury in most distal femoral fracture is thought to be axial loading with varus/ valgus or rotational forces
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