Arivoli, G (2020) A Prospective study on Functional Outcome of Double Plating for Distal Femur Fractures. Masters thesis, Madurai Medical College, Madurai.
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Abstract
INTRODUCTION: To find the functional outcome of double plating for the distal femur fractures using condylar locking compression plate through lateral approach and buttress plate using medial subvastus approach since single lateral plating was often found to have a relatively higher failure rate. AIM OF THE STUDY: To find the functional outcome of double plating for the distal femur fractures using condylar locking compression plate through lateral approach and buttress plate using medial subvastus approach. OBJECTIVES: 1. To investigate the clinical, radiological & functional outcome in patients treated by double plating technique for comminuted distal femur fractures. 2. To analyse the influence of age, sex, mechanism of injury, fracture type, operative time and associated injuries in the final functional outcome. MATERIALS AND METHODS: 20 patients (16 male & 4 female) with distal femur fractures of Muller type A2, A3, C2 and C3 in the age group of 20 -50 years with mean age of 36.1 years were treated with dual plating through swashbuckler approach for lateral side and subvastus approach for medial side. Our outcomes included clinical and radiological union, range of motion and postoperative complications. RESULTS: The mean time of complete radiological union in the studied population was 20.9 weeks with a range of 18-24 weeks. we have not observed postoperative varus or valgus deformity in our cohort. 70% of patients showed range of motion between 70o-90o during follow-up. 65% of patients had good to excellent outcome. Poor outcome in 10% of cases. CONCLUSION: In our study though there were complications and increase in operating time, the union rate is 100% with no varus deformity or malunion and functional range of movements were good in 40% of cases and excellent in 25% cases, so double plating is one of the better option to achieve bony union and better functional outcome in severely comminuted distal femur fractures.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221712101 |
| Uncontrolled Keywords: | Double plating for distal femur fracture, severe medial comminution of distal femur, locking compression plate, buttress plate, medial subvastus approach, operative time, American knee society scoring system, Range of Motion of Knee Joint, Knee Stiffness, healing time, varus deformity. |
| Subjects: | MEDICAL > Orthopaedics |
| Depositing User: | Subramani R |
| Date Deposited: | 13 Feb 2021 14:28 |
| Last Modified: | 13 Feb 2021 14:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14106 |
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