ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Study To Evaluate The Functional Outcome Of Communited Fracture Of Distal Femur Treated With Dual Locking Compression Plate


    DR. ARVIND AMBEDKER , DR.SANDEEP BHINDE , DR. R.S. BAJORIA
    JCDR. 2023: 954-964

    Abstract

    Fractures of the distal femur are seen in different complexities in modern times. The management of comminuted distal femur fracture is challenging given achieving stable fixation, and regaining of range of motion at the knee joint treated with present fixation methods. Distal femur plating on the lateral aspect is a good option but in long-term follow up various complications are seen like shorting of limb, angulations, deformity at the knee due to banding of plats, poor healing of the fracture, delayed union and stiffness of knee due to immobilizations. To overcome all these complications of double plate fixation i.e. conventional lateral pillar (LCP) fixation, augmented with medial per admission and availability of the operation theatre. Most of the cases can be operated between the 2nd to 10thday admission. After preoperative assessment cases were prepared for surgery. Under aseptic precaution and prophylactic antibiotic coverage, cases are operated on. All will be operated by dual-femur LCP. Results: Out of all 30 patients 07(23.33%) was Excellent, 20(66.66%) was good, 02(6.66%) was fair, 01(3.33%) was poor results. Of the 30 cases, 4 (13.33%) patients have a Range Of Motion of 80-100o ,26 (86.66%) patients have a Range Of Motion of 101-120o Conclusion: All the end of this prospective study we found this method suitable for complex distal femur fractures AO Type C. The addition of a medial buttress plate resulted in better outcomes in comparison to single lateral buttress plates. Double platting was successful in achieving bony union without complications, like loss of reduction, implant failure, or breakage. Late angulation deformity or non-union was not seen in any case. Rigid fixation allowed early mobilization of the knee and enhance rehabilitation. We conclude our study that double platting of AO Type C 1,2,&3 subtypes gave encouraging results in terms of functional outcomes in comparison to a lateral plate. We conducted an original study in all subtypes of AO types C. In last we recommend that further study on Type C specific sub-types will produce better results

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    Volume & Issue

    Volume 14 Issue 5

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