Comparison between dynamic condylar screw and locking condylar plate for various types of distal femur fracture

Abstract

The goals of operative treatment are anatomical alignment, stable internal fixation, and rapid mobilization and early functional rehabilitation of knee.. Many implants are available for internal fixation like 95 degree condylar plate, condylar buttress plate and dynamic compression plate, dynamic condylar screws, and locking condylar plate. The series include the treatment of 33 cases of distal femoral fractures with satisfactory follow up in all the patients. Data collection was based on patient evaluation through detailed history, clinical examination and roentgenografic examination. For the fracture to be included in this study part of the fracture line has to extend distal to horizontal line drawn on APX-RAYS 9 cm above the distal articular surface of the femoral condyles. Thus trans condylar fractures, fractures involving the intercondylar notch and supracondylar fractures without extension in to the notch were all considred and included in the series. Patients were treated discharged at an average of 22 days with a range of 10-34 days. Average time taken for union with DCS was 18.8 weeks and LCP was 17.2 weeks which was statistically significant. Average range of movement of knee was found to be 0-95.29 degrees with DCS and 0-104.66 degrees with LCP