Study of Operative Results of Complex Fractures of Distal End Femur Treated by Locking Plates

Dr. Kushal V. Shah; Dr. Sagar B. Sharma

Volume : III, Issue : IX, September - 2014

Study of Operative Results of Complex Fractures of Distal End Femur Treated by Locking Plates

Dr. Kushal V. Shah, Dr. Sagar B. Sharma

Abstract :

Distal femur fractures for years have remained an unsolved problem in orthopedic trauma. The introduction of distal femur locking plate based on the internal fixator principle has been a welcome change that has ought about a drastic change in the management of these fractures. We present our experience with distal femur locking plate in the managemen of distalfemurfractures . We have done a retrospective study of 40 patients with distal end femur fractures operated during the period of 2009 to 2013 at our institute. There were 30 males and 10 females with maximum number of patients in more than 20age group. The mode of injury was RTA 90%and falls 10.there were closed fracture 55% and open fracture 45%.The fractures were classifiedas A3 (20%), C1(15%), C2 (27.5%), C3 (37.5%). Thetime interval between injury and surgery was 2 days .. The ROM at the end of the follow–up period was 120� in 50% of our patients The use of DFLPin fractures of distal femur in our study seems to be associated with a good functional outcome and early recovery as it provides for early mobilization and rehabilitation and is associated with good results. DFLP is definitely helpful in those comminuted C3 fractures which were earlier associated with poor results when other implants were used. The use of DFLKP in these conditions results in improved outcomes.