Management of distal femur fractures with locking compression plate: A prospective study

Abstract

Background: Fractures distal femur are one of the commonest fractures encountered in high velocity trauma which are associated with high morbidity and mortality. Isolated fracture can itself lead to complications such as ARDS and pulmonary embolism. This necessitates early stabilization of fractures. Internal fixation is the choice of treatment in fractures distal femur and Locking Condylar plate. Plate has shown to give one of the best results in terms of recovery, fracture union, return to work and the functional outcome.Methods: This prospective study reviewed 25 cases of distal femoral fractures surgically managed with distal femoral locking compression plate between JANUARY 2017 and January 2018 at, SSG Hospital And Medical College Baroda. Fractures were categorized according to OTA classification by Muller.Results: 21 out of 25 patients had closed injury. Type A2 Muller’s fracture was the most common fracture type 8 out of 25 patients (32%). Out of 25 patients 19 were male and 6 were female. The mean follow up period in this study was 6 months. The average range of knee flexion achieved was about 110. Out of 25 patients 14 had excellent, 8 had good, 2 had fair and 1 had poor result.Conclusions: The locking compression plate is the treatment of choice in the management of comminuted distal femoral fractures especially Type A fractures where we have found higher Neer scores.