Locking compression plating for distal femoral fractures: A Short Term Outcome Analysis

Jayakumar, M (2010) Locking compression plating for distal femoral fractures: A Short Term Outcome Analysis. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Supracondylar fractures of the femur are becoming more common and are very challenging injuries to treat. These fractures occur in two different age groups -due to different types of injuries. In young patients these fractures occur due to high velocity injury such as road traffic accidents, fire arm injuries and sport’s injuries. While in elderly patients usually low velocity injury like fall during walking, results in supracondylar fractures of the femur. Because of the proximity of these fractures to the knee joint, regaining full knee motion and function may be difficult. The incidences of malunion, nonunion, and infection are relatively high in many reported series11. In older patients, treatment may be complicated by previous joint arthroplasty. AIM: The aim of the study is to analyze the short term results in terms of union and functional outcome for distal 3rd femoral fractures treated with distal femoral locking compression plating. MATERIALS AND METHODS: This is a study conducted in the Department of Orthopaedics, Madras Medical College, Government General Hospital, Chennai. This study is a prospective study Conducted in the Department of Orthopaedics from September 2007 to September 2009 with a sample size of 25 cases. Patients were randomly selected from among the admissions to the Orthopaedic ward in the Department of Orthopaedics, Government General Hospital, Chennai and recruited into the study prospectively based on the following criteria: Inclusion criteria - 1. Age more than 16 years. 2. Presence of distal 3rd femoral fractures which needs to be internally fixed in displaced Muller’s type A and Type C fractures. 3. Patients who give consent to be included in the study. 4. Patient who is preoperatively mobile. Exclusion criteria - Skeletal immaturity with open physis. Muller’s type B fracture. Undisplaced fracture patterns needing only conservative management. Patients not willing for surgery. Supracondylar # femur associated with # neck of femur. RESULTS: The following were the observations made in the present study. The total number of the patients was 25 with 15 males and 10 females. The youngest age in our study was 19 and the oldest age is 65 with a mean age of 35.1 years. High incidence is found in 21 to 40 yrs age group more common in males due to high velocity injuries. In more than 50 yrs age group females are predominantly affected mainly due to low velocity injuries. Right side to left side ratio was 3:2 (ie., 15 : 10). CONCLUSION: The Distal Femur-Locking Compression Plate is a good implant to use for fractures of the distal femur. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Muller’s Type A and C fractures. Our early results are encouraging but long term studies are needed to prove definitively acceptable outcomes so that the technique can become part of the in the armamentarium of the orthopaedic trauma surgeon.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Locking compression plating ; distal femoral fractures ; Short Term Outcome Analysis.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 14 Sep 2017 02:42
Last Modified: 14 Sep 2017 02:42
URI: http://repository-tnmgrmu.ac.in/id/eprint/3091

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