Outcome of Comminuted Femoral Shaft Fractures by Locking Plate-A Hospital Based Study

Abstract

Introduction: Maximum number of fractures often result from high-energy wounds like car accidents in young and mainly often from falls in elderly populations. Locking plates are fracture fixation expedients with threaded screw holes, in which screws allow to strand to the plate and work as a fixed-angle convenience. The study aims to investigate the outcome of locking compression plates in comminuted femoral diaphyseal fractures. Methods: An experimental clinical trial was carried out in the Department of Orthopedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2010 to June 2012. A total number of 9 patients (N=9) following purposive sampling were enrolled in this study. Data were collected using the predesigned semi-structured questionnaire. Verbal consent was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. The data analysis was performed using Statistical Package for the Social Sciences (SPSS) Version 16.0.0. Result: Among the study population (N=9), most of the patients (3,33.3%) were between 20-29 years old, and two patients (2, 22.2) were 60 to69 years old with a mean age of 42.7 years old. Around two-thirds of the study population (6,66.7%) were male. The majority of the study population (6,66.7%) caused the injury due to a motor vehicle accident, one patient (1,11.1%) got injured due to falling from a height, four patients (4,44.4%) right side was involved & left side was involved in rest of the patients (5,55.6%), upper tibial skeletal traction treatment was done in six patients (6,66.7%) previously & kabiraji treatment was done in three patients (3,33.3%) respectively. Based on the outcome after six months, the result was excellent, good in four patients (4,44.4%) and fair in one patient (1,11.1%). Conclusion: Femoral shaft fractures are a common orthopaedic injury causing severe trauma in the ageing population. Femoral shaft fractures are often related to other co-morbidities necessitating life support valuation. Among the numerous treatment measures, locking plate and intramedullary nailing are suitable with outstanding ........