Functional Outcome of Distal Femur Pre-Contour Locking Plate

Abstract

OBJECTIVE: To evaluate the effectiveness and functional outcome of distal femur fractures fixation withpre-contoured locking compression plate while using knee society score.METHODOLOGY: This Descriptive Case Series was conducted at Trauma Orthopedic Clinic (T.O Clinic)Karachi from January 2016 to December 2019. A simple random sampling technique was used to selectthe study participants. After written and informed consent, 100 patients were enrolled in the study.Patients between the age of 40 and 60 years, either sex presented with extra and intraarticular distalfemur fracture due to trauma that required surgical treatment were included. The functional outcomewas assessed in the 6th month by using the structured questionnaire of Knee Society Score. Agoniometer was used to assess knee flexion and extension range of motion.RESULTS: The mean age of participants was 52.18±6.06 years. The majority of 60(60%) patients were >50 years patients. Union was achieved in all cases which is evident on a radiograph in the majority ofcases (68%) between 17-23 weeks and the mean duration to achieve union was 21 weeks. The meanknee society score (functional) was 82.35±13.35, with a range of 48(52-100). The knee society score(knee) was 81.12±13.04, with a range of 48(50-98). 53 had excellent grades, 31 had good grades, 11 hadfair grades, and 5 had poor grades.CONCLUSION: Pre-contour locking compression plate gives excellent and good functional outcome fordistal femur fracture management with early recovery. KEYWORDS: Functional Outcome, Internal Fixation, Distal Femur Fracture, Knee Society Score