Management of distal femur fractures with distal femur locking plate by MIPPO technique

Abstract

Introduction: Distal femur fractures are a challenge to orthopaedic surgeons as full restoration of function is problematic and demands technical expertise. Rigid fixation, maintaining the alignment and length of the femur and early mobilisation is required to achieve good results. The study was conducted to know the outcome after fixation by distal femur locking plate by MIPPO technique. Materials and methods: A prospective study of 20 cases of distal femur fracture operated with distal femur locking plate using MIPPO technique was conducted at MVJMC & RH from June 2012 to June 2016. Patient followed up at 2, 4, 6 weeks and 3, 6, 9 months and has evaluated for fracture union, knee ROM and Knee Society Score at 6 months. Results: Total number of 20 patients with distal femur fracture was managed with distal femur locking compression plate by MIPPO technique. In all 20 patients fracture united with mean duration of 14.5 weeks. There were no cases of non-union. Mean Knee Range of Movements at 6 months was 1100 flexion and extension limitation of 100.Mean Knee Score was 87.6 and Mean Functional Score was 78. There were no cases of implant loosening or breakage. 1 case of superficial infection, no deep infection noted. Conclusion: With MIPPO technique using distal femur locking plate for distal femur fractures gives good results with rigid fixation, excellent union rates, good functional outcome and minimal complications