Analysis of functional outcome of Muller's Type A and C fractures distal femur using locking compression condylar plate: A Prospective study

Pazhani, J (2010) Analysis of functional outcome of Muller's Type A and C fractures distal femur using locking compression condylar plate: A Prospective study. Masters thesis, Kilpauk Medical College, Chennai.

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Abstract

INTRODUCTION: Fractures of the distal femur are complex injuries. They can produce significant long term disability. They account for 7% of all femoral fractures. If hip Fractures are excluded, 31% of femoral fractures involve distal portion. Although open reduction and internal fixation with plate and screws has Become a standard method of treatment for many types of fractures, the Management of comminuted, intra articular distal femoral fractures still remains Complex and challenging to the orthopaedic surgeon. Many of these fractures are the result of high energy trauma which generates severe soft tissue damage and articular and metaphyseal communition. The incidence of malunion, nonunion and infection are relatively high in many reported series. Coronal plane fractures and extensively communited fractures preclude the use of commonly used devices like 95 degree condylar blade plate, the dynamic Condylar screw with 95 degree side plate and supracondylar nails. Lateral buttress or neutralization plate may be used, but when this device is applied in presence of Medial comminution or bone loss, failure of fixation and varus collapse may eventually result. Recent advances in technology for the treatment of distal femoral fractures include the less invasive stabilization system (LISS) and the locking compression Condylar plates. They offer multiple points of fixed angle contact between the plate and screws in distal femur, reducing the tendency for varus collapse and at the same time afford better stability. AIM OF THE STUDY: The aim of the study is to “Analyse the functional outcome of Muller’s Type A and C Distal Femur Fractures treated with Locking Compression Condylar Plate” at the department of Orthopedics and Traumatology, Government Royapettah Hospital, Government Kilpauk Medical College, Chennai, between July 2008 and October 2009. MATERIALS AND METHODS: This prospective study is an analysis of functional of 20 cases of displaced distal femoral fractures, internally fixed using locking compression condylar plates, which was undertaken at the department of orthopedics and traumatology at Government Royapettah Hospital, Chennai from July 2008 to October 2009.The Government Royapettah Hospital, is a multi specialty tertiary care referral and trauma centre with an average bed strength of about 700 and 110 beds allotted for orthopaedics and is situated in the heart of the city. We have a 24 hours emergency casualty, running all 365 days a year and fully equipped to take both medical and surgical emergencies, with emergency operation theatre. RESULTS: All patients were followed at regular intervals (i.e., once in a month for the first 3 months and once every 3 months thereafter) The minimum follow up period was 3 months and the maximum follow up was 15 months. The mean follow up period in this study was 8.46 months The results were evaluated by taking into consideration the following factors 1. Pain, 2. Function, 3. Motion, 4. Work, 5. Gross Anatomy and, 6. Roentgenograms. CONCLUSION: The LCP condylar plate is a valuable addition in the armamentarium of the orthopaedician in the management of comminuted distal femoral fractures, with questionable bone integrity. It may not completely solve the age old problems associated with any fractures. But this technique is slowly evolving as the best suited one replacing the fixed angle plate and the DCS fixation. This technique is not bereft of complications like plate or screw breakage, but careful selection of patients and strict adherence to the basic principles of fracture fixation will go a long way in reducing the complications of fracture fixation using locking compression plates.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Analysis of functional outcome ; Muller's Type A and C fractures distal femur ; locking compression condylar plate ; Prospective study.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 16 Sep 2017 18:21
Last Modified: 17 Sep 2017 17:06
URI: http://repository-tnmgrmu.ac.in/id/eprint/2981

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