Abstract
Objective: To compare the outcomes of supracondylar femur (SC) fractures treated with locking compression plate (LCP) with supracondylar nail (SCN). Methods: Analysis of 90 cases was done out of which 45 were treated with supracondylar nail and 45 with LCP. Results: Results were graded according to Schatzker and Lambert criteria. In LCP group 28 (62.22%) had excellent, 12 (26.66%) had good, 2 (4.44%) had Fair and 3 (6.66%) had poor results while in SCN group 22 had excellent (48.88%), 9 had good (20%), 6 had fair (13.33%) and 8 had poor (17.77%) results. Conclusion: Locking condylar plate group had the best functional result followed by SCN group according to Schatzker and Lambert criteria.
Highlights
Supracondylar femur fracture is one of the most common injuries of the lower extremity which many timesinvolves damage to the articular cartilage of the knee joint
To compare the outcomes of supracondylar femur fractures treated with locking compression plate (LCP) with supracondylar nail (SCN)
Out of Ninety-nine cases 48 were treated by distal femur locking plate and were designated as LCP group
Summary
Supracondylar femur fracture is one of the most common injuries of the lower extremity which many timesinvolves damage to the articular cartilage of the knee joint. One end of spectrum includes patients < 40 years of age, with high male preponderance due to high energy trauma like road traffic accidents or fall from height. The other end of spectrum includes patients > 50 years of age with female preponderance due to low energy trauma with predisposing factors like osteoporosis [3,4]. Supracondylar femur fracture is challenging even when treated with new fixation techniques and implants. Treatment of choice for supracondylar femoral fractures is usually operative, while nonsurgical treatments are seldom used and reserved for morbid patients. The operative methods include the use of either fixed angle blade plate (FABP), compression screw systems (Locking compression plate; LCP), condylar buttress plates, intramedullary nailing systems (Supracondylar nailing; SCN), external fixation or modular distal femoral replacement prosthesis [5]
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