Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The incidence of distal femur fractures is rising due to increased road traffic accidents and construction injuries, affecting both young adults and older women with osteoporosis. Distal femur fractures, constituting 6% of all femur fractures, are complex and can result in long‐term disability. This study aims to evaluate the outcomes of distal femoral fractures treated with locking compression plates (LCPs), focusing on union rates, clinical outcomes, and complications. This prospective study included 20 patients with distal femur fractures treated surgically at Mamata Medical Hospital, Khammam, from August 1, 2020, to September 31, 2022. Patients underwent closed or minimally open reduction and internal fixation with LCPs and were followed for a minimum of six months. Exclusion criteria included pathological fractures, supracondylar fractures in children, and fractures managed conservatively or with different fixation systems. Data collected included patient demographics, fracture classification, injury mechanism, and clinical outcomes. The study included 20 patients, mean age 45.70 ± 15.64 years, with 85% male. Injuries were primarily due to road traffic accidents (80%), with 90% being closed fractures and 65% affecting the right side. Fracture types were 25% Muller C3, 25% C2, 15% A1, 15% A3, 10% A2, and 10% C1. Clinically, 70% achieved 80‐100 degrees of knee range of motion (ROM), 15% achieved 60‐80 degrees, and 15% achieved 100‐120 degrees. NEER scores improved from 70.0 ± 6.51 at 0 weeks to 90.85 ± 5.57 at 24 weeks. Complications included limb shortening (15%), infections (5%), knee stiffness (15%) and wound gaps (5%).The use of locking compression plates for distal femur fractures is effective, with high NEER scores correlating with fewer complications. The NEER score is a crucial factor in assessing functional outcomes in patients with distal femur fractures.
How to cite this article:
Chava Sarath Sai, Cheekati Lalki Sai Kumar, G. Raviteja and Takkallapalli Dushyanth Rao. Study of Surgical Management of Distal Femur Fractur Eusing Locking Compression Plate.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.346.351
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.346.351