Distal Femur Fractures Treated With Mipo Locking Compression Plate Technique: A Prospective Study On The Functional Outcome
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Fractures of distal femur are one of the complex injuries with the incidence of about 0.37%. These injuries have potential to generate significant long-term disability particularly when they are related with marked bone comminution, extensive articular cartilage damage and severe soft tissue injury. Aim of the present study is to assess the functional outcomes of Minimally Invasive Precutaneous Plate Osteosynthesis (MIPO) for distal femur fractures.In the present prospective study, 23 patients with distal femur fractures in adult were treated using locking compression plate and MIPO technique. The patients were selected from Mahatma Gandhi Medical College and Research Institute, Pondicherry. Rasmussen’s scoring system was used for evaluating the functional assessment, focused on Clinical and radiological parameters. In this system, there are scoring points for subjective complaints, clinical signs, available range of motion and stability. The analysis was done in terms of gender, age group, Mode of injury, frequency and type of injury, surgical intervention and complication. Majority of the injured patients were male (56.5%). Among male patients 73.3 % of the injury was due to road traffic accidents, whereas among females majority of them were injured due to domestic fall. Common age group was found to be 41-60 years accounting 39%. All fractures in our patients went on to unite and the average union time was about 16 weeks with the range of 12 to 20 weeks. Of 23 patients only one patient had restricted ROM of about 700 and all the other patients had ROM of about 1100 – 1300. Two patients had limb shortening of 5-10 mm. Functional outcome was assessed using Rasmussen’s scoring and we had excellent and good results in 15 (65%), 8 (35%) patients respectively. No poor results in our series. Minimally invasive percutaneous plate osteosynthesis is an excellent option in treating the distal femoral fractures of both the articular and extra articular types. Complications in this technique can be minimized by mastering the surgical procedure with sound knowledge about the complex anatomy of the distal femur.
Authors and Affiliations
M Chandrasekaran, Ravichandran Subbaraj, R Nandakumar, Krishna Bhargava Reddy
Keywords
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