Abstract

Most distal femoral fractures are the result of direct trauma. This could occur in elderly individual who falls directly on a flexed knee or in an occupant of an automobile who sustains a severe direct blow trauma to the knee. The majority of these fractures are either from high velocity vehicular trauma or from a fall from height resulting in a comminuted metaphysical and displaced intra articular fractures depending upon the amount and direction of application of the applied force. For the fracture to be included in this study part of the fracture line has to extend distal to horizontal line drawn on AP X-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 considered and included in the series. 1 patient treated with LCP had superficial infection treated by regular dressing and antibiotics, I patient treated with DCS had a varus angulation at the end of treatment. One patient treated with LCP went for nonunion, Which was later managed by bone graft and orthofix applicaton.

Description