Retrospective analysis of surgical management of patients with distal femur fracture by locking compression plates
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Introduction: The following study was conducted to examine the short term clinical and radiological results particularly early complications and healing rate of distal femur fracture treated with distal femur LCP. Materials and Methods: The study was conducted in patients treated for distal femur fracture (type A, B & C – AO classification) at Mandya Institute of Medical Sciences, Mandya from month of Nov 2015 to Oct 2017. Forty distal femur fracture patients in this study, were fixed with DF-LCP with Bone grafting where the distal femur fractures were associated with extensive bone loss. Patients’ age ranged from 18 to 80 years with mean of 49. Results: The sample consisted forty patients, 23 were males and 17 females. The patients’ ages ranged from 18 - 80 years with mean of 49 years. The causes of fractures were motor vehicle accident in 26 patients and fall in 14 patients. 27 fractures involved the right side and 13 involved the left. The average hospitalization was 15 days with a range of 10 to 20 days. The average number of days from injury to surgery was 5 days with a range of 02 to 07 days. Functional outcome was rated as per NEER’S RATING SCORE, we got excellent results in 18 cases, good in 14, fair in 06 and poor in 02 patients. Conclusion: The distal femur LCP with accurate positioning and fixation is a good implant to use for fracture of distal femur. We recommend use of this implant in Type A, B, C and osteoporotic fractures with satisfactory results. In our study, we found excellent results in type C and osteoporotic fractures, however, long term studies are needed to prove definitively acceptable outcomes so that this technique can become part in the armamentarium of the orthopedic trauma surgeon.
Authors and Affiliations
Dr. Mahendra Kumar KL, Dr. Manjappa CN
Literature review of quality of life and influencing factors in patients of cervical spondylosis treated by ACDF
Introduction: Influence of psychosocial factors on patients of cervical spondylosis need to be calculated as they plays an important role in patient’s quality of life (QOL). As anterior cervical discectomy and fusion (AC...
Study of clinical and functional outcome of fractures of long bones with locking compression plates
The study was done to observe the role of locking compression plate as a fixation device in the management of fracture of long bones. Locking compression plate is an economical, safe and sound fixation system for the tre...
Newer modified technique for treatment of idiopathic clubfoot deformity with combination of modified ponseti casting and posterior, posteromedial soft tissue release in 6 month to 5 year age group children
Specific Objectives: Congenital talipes Equinovarus (clubfoot) is one of the most common foot Anomalies which can be treated by serial casting technique with high rate of success. Surgery is indicated for deformities tha...
Paratricepital approach for fixation of distal humerus fracture in adults - A good alternative
Objective: Distal humerus fractures most commonly managed by surgical approaches that disrupt the extensor mechanism of elbow. Paratricepital posterior approach for distal humerus fracture fixation done by orthogonal or...
Role of preoperative ultrasonography in De Quervain’s disease
Background: Fritz De Quervain first described the tenosynovitis of first extensor compartment tendons of abductor pollicis longus and extensor pollicis brevis and hence the affection bears his name. Clinically characteri...