Surgical management of distal end femoral fractures in adults with locking compression plate

Abstract

Objectives: A Study was made to study the functional outcome of Surgical Management of Distal end Femoral Fractures in Adults with Locking Compression Plate. Materials and Methods: In this study 15 patients with closed supracondylar fractures of femur (distal fifteen cm of femur) were studied. All the cases were treated at Deccan College of Medical Sciences, Hyderabad, between November 2013 to March 2015 at our institution and followed for a minimum of 4 months. Results: Excellent results were seen in about 20% patients according to functional outcome – NEER’S scoring. 6 patients had superficial infection and 1 patient had delayed union. Conclusions: Locking Compression Plate is an important armamentarium in treatment of fractures of distal end femur, especially when fracture is severely comminuted and in situations of osteoporosis. Fractures of distal and femur represent 4-6% of all femoral fractures, the traditional concept of internal fixation which requires an extended approach to the fracture fragments is presently being challenged by a more biological, traumatic approach with careful handling of soft tissue envelop and without bone grafting. The ultimate aim in treating these fractures in adult population is to achieve rapid bony union and allow early mobilization. The main Aim of study is to evaluate the results of Surgical Management of Distal end Femoral Fractures in Adults with Locking Compression Plate. Patients with Distal end femur fracture satisfying the inclusion criteria. The proposed study is a hospital based prospective study centered in orthopedic department, Deccan College of Medical Sciences, Hyderabad. The follow up would be for two year with evaluation at 2 weeks, 1 month, 3 months 12 months, and 24 months.