Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Fractures of distal` end of the femur include those occurring within approximately 15 cm of the distal articular surface of the femur. High‐energy mechanism supracondylar femur fractures are often associated with severe soft tissue injury, extensive articular and metaphyseal comminution and occasionally segmental bone loss. These factors are a set‐up for prolonged healing time. Previous generations of implants used in isolation to treat these fractures were associated with fixation failure, varus collapse and non‐union. Supplemental medial fixation has been advocated to improve stability. To analyse the functional and radiological outcome of double plating of AO type A and C fractures of distal end of the femur in terms of scores according to Neer’s criteria. Patients of either sex diagnosed with distal femoral fractures, type A and C who are admitted in Hospitals attached to Mysore Medical College and Research Institute, Mysore. Where managed with ORIF with double plating i.e. both medial and lateral plate using swasch bucklers approach. A total of 16 patients were followed up of which 12 were male, 4 were female. The age range was between 18 and 69 years with a mean age of 45.36±13.72 years. The fracture incidence was more common in the age groups between 41‐50 years, which was 36.3% and >50 years, which was 31.8%. Final analysis of the Neer’s score showed 56.3% (9 patients) were excellent, 25% (4 patients) were satisfactory, 12% (2 patients) were unsatisfactory, and in one patient there was failure. Patients who underwent double plating for AO type A and C fractures of distal end of the femur showed statistically significant functional and radiological outcomes at 6 months follow‐up. We conclude by stating that the double plating technique is a viable option for the management of distal femur fractures especially in those with medial cortex comminution, articular involvement and osteoporotic fractures. The double plate technique gave a sturdy and stable construct preventing varus collapse as the patient underwent rehabilitation and thus aiding bony union and early weight bearing. Time taken to return to work and overall quality of life improved following the procedure.
How to cite this article:
K.C. Paramesha, M. Mahendrakumar and M. Suhas. A Prospective Study on the Functional and Radiological Outcome of Double Plating in AO Type “A” and “C” Fractures of Distal end of Femur.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.460.464
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.460.464