Is there a role of primary bone grafting for communited supracondylar femur fractures?

Abstract

The locking compression plate (LCP) forms a fixed angle construct and enables to achieve rigid fixation for a supracondylar fracture of distal femur. This however improved functional outcome owing to early return to function, but stiffness of construct also yielded non union as primary complication. We reviewed our experience with distal femur LCP in distal end femur fractures in this case series and evaluate the role of bone graft in communited supracondylar femur fractures. 22 patients included are those with supracondylar fractures and distal third fractures of femur with or without intra articular extension. Polytrauma and patients with injury to same limb earlier were excluded from the study. Results were discussed and analysed. We conclude that primary bone grafting at the time of initial fixation of such comminuted fractures by locking plates will fasten the healing process with early added protection of the construct leading to shorter union time and good functional outcome.