Functional Outcome of the Distal Femur Locking Compression Plates in the Treatment of Fractures of Distal Femur

Vijaykumar, R (2015) Functional Outcome of the Distal Femur Locking Compression Plates in the Treatment of Fractures of Distal Femur. Masters thesis, Coimbatore Medical College, Coimbatore.

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Abstract

AIMS AND OBJECTIVES: Aim of this study is to evaluate the functional outcome of the distal femur locking Compression plates in the treatment of fractures of distal femur. OBJECTIVES: 1.Whether fractures reduction and fixation with locking compression plate will give acceptable results in the distal femur fractures treated in our setup. 2. To study the clinical outcome associated with this treatment modality 3. what are the potential complication associated with the procedure MATERIALS AND METHODS: This is a prospective, nonrandomised observational study of 14 Patients, with distal femur fractures (Muller A classification type 33 A,C) who were treated with DFLCP at Department of Orthopaedics, Coimbatore medical college hospital, Coimbatore from May 2013 to September 2014. The study sample was 14 patients and all these patients were included with predefined inclusion & exclusion criteria in this study. Minimum of 6 months and a maximum of 16 months follow up was done. The functional and radiographic results were recorded according to Neer’s criteria RESULTS: In this study, Most of the patients in this study were old patients in the age group 50-85 yrs. In this study 53% of the cases were Muller type A and 47% were type C and for three patients MIPPO technique was followed In our study in most of cases long working length was followed but in four patients short working length was used but we had no implant failure among these cases and Bone grafting was done for three patients The shortest follow up period was 3 months and longest period was 12 months , average union time was 4 months and most common Complications is knee stiffness which was almost 84 % of the patients with average knee motion was 25 degree of flexion,15% of the cases got infected. Shortening seen in 21% and no cases of implant failure in our study . In this study by the analysis of the results two cases with excellent results, 7 cases with good results and one cases with failure result. CONCLUSION: We conclude that DF-LCP, the “internal fixator” is a safe and reliable implant although careful preoperative planning and case selection and taking up cases for surgery as soon as possible are important factors which determine the final outcome. It may substitute a conventional plate and screw system(compression method) in treatment of complex distal femoral fractures especially in osteoporotic bone. As our study was limited by its small sample size and time duration so further randomised controlled studies are required in different situations to know the usefulness of this implant.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Neer’s criteria ; DF-LCP ; knee stiffness.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 26 Sep 2017 00:59
Last Modified: 26 Sep 2017 00:59
URI: http://repository-tnmgrmu.ac.in/id/eprint/3336

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