IJAR - Indian Journal of Applied Research

Abhijit Sarkar; Sachlang Debbarma; Santosh Reang; Subal Debnath; JM  Datta; S Naha

Volume : VI, Issue : III, March - 2016

Outcome of treatment of distal third femur fracture by locking compression plate MIPPO technique.

Abhijit Sarkar, Sachlang Debbarma, Santosh Reang, Subal Debnath, Jm Datta, S Naha

Abstract :

Background: To study the outcome of management of distal femur Fractures by distal femur LCP by MIPPO. Mateials and method: A Prospective study of 30 (thirty) adult patients with distal third femur fractures (33–A/B) underwent MIPPO with distal femoral locking compression plate in the department of orthopaedics, Tripura medical college Agartala,between July 2013 and December 2015. Variables of each patient’s were recorded and analysed Age, sex, fracture type , mode of injury, limb involvement, associated injuries, timing and duration of operation, duration of hospital stay in days, follow up in months, complications and final outcomes. Result: Road traffic accidents accounted for majority of fractures (70%) and fall from height accounted for the remaining (30%). The right femur was involved in eighteen (18) patients (60%) and left femur in twelve (12) patients (40%). Clinical union was seen at 12.65 ± 3.78 weeks (10–30 weeks) in all cases. Radiologically idging callus was seen at 12th post operative week and complete radiological union was at a mean time of 25.73 ± 5.13 weeks (20 – 40 weeks). The final result, twenty six (26) patients had excellent outcome (86.66%) and three (3) patients had good outcome (13.33%) and one (1) failure (3.3%). Conclusions: Fractures of the shaft of femur is a catastrophic event with an age and gender–related bimodal distribution and occur most frequently in young men after high–energy trauma and in elderly women after a low–energy fall. The most common causes of such severe trauma are road traffic accidents (RTA), falls from height and gunshot injuries. The incidence is on the rise because of increasing vehicular accidents and rapid urbanization. MIPO avoids direct exposure of the fracture site. The distal femoral LCP do not require pre–contouring (together with self–drilling and selftapping screws) are the best adjunct to go with the MIPO technique