Volume : VIII, Issue : III, March - 2019

A COMPARATIVE STUDY OF RETROGRADE NAILING Vs ANATOMICAL LATERAL DISTAL FEMORAL LOCKING PLATE IN PATIENTS WITH DISTAL FEMORAL FRACTURE

Dr. P. Kiran Kumar, Dr. Ramana. S. S. V, Dr. S. Tulasiram Yashaswi

Abstract :

AIM: The aim of the study was to determine the functional outcome retrograde nailing vs anatomical lateral distal femoral locking plate in patients with distal femoral fracture.PATIENTS AND METHODS:Patients were either treated with retrograde nailing or anatomical distal femur locked plating from Feuary 2013 to August 2014 at our institution.All patients were followed up for 6 months.The patients were evaluated clinically by Knee society score and radiologically for outcomes.Outcome were compared in both groups in terms of knee society score at 3 months and 6months,union rate,infection rate,implant failure.RESULTS:In our study 27 supracondylar femoral fractures were treated.13 were treated with retrograde nailing and 14 were treated with locking plate.All cases were fresh.17 were males and 10 patients were females.The median age was 51.37 years ranging from 20–75 years.15 of the fractures were road traffic accidents and 12 were due to trivial fall.24 patients were presented with closed fractures and 3 with open fractures.17 patients were with fracture on right side and 10 on left side. Mean knee society score at 3months for nailing was 100.0(97–107) and plating 102(99.50–108.25) and at 6months for nailing was 149.0(145.5–155.5) and plating 148.5(145–155.25).All fractures united both in nailing and plating group. There was 1(7.6%)patient in nailing group and 2(14.3%) patient in plating group who had superficial infection.No cases had implant failure in both the groups.There were no significant difference between two groups in terms of knee society score at 3 months(p<0.406) and 6 months(p<0.827),union rate (p<1.00),infection rate(p<0.815),implant failure(p<1.00).CONCLUSION: Both retrograde nailing and locked plating may be adequate treatment options for supracondylar femur fractures.No differences in outcome between implants regarding fracture healing,non–union and infection were found.However,both systems require precise preperative planning and advanced surgical experience to reduce the risk of revision surgery.Clinical outcome may largely depend on surgical technique rather than on the choice of implant

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Article: Download PDF   DOI : 10.36106/ijsr  

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A COMPARATIVE STUDY OF RETROGRADE NAILING VS ANATOMICAL LATERAL DISTAL FEMORAL LOCKING PLATE IN PATIENTS WITH DISTAL FEMORAL FRACTURE, Dr.P.Kiran Kumar, Dr.Ramana.S.S.V, Dr.S.Tulasiram Yashaswi INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019

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