A Prospective Study to Evaluate the Functional Outcome of Open and Closed Reduction for Distal End Femur Fractures
- 1. Senior Resident, Department of Orthopaedics, Government Medical College, Bihar, India
- 2. Assistant Professor and HOD, Department of Orthopaedics, Government Medical College, Bihar, India
Description
Background: Distal end femur fractures are complex injuries that pose significant challenges in orthopedic practice. The functional outcomes of these fractures can be influenced by the method of reduction employed—either open or closed reduction. Aim: This study aims to evaluate and compare the functional outcomes of open and closed reduction techniques for treating distal end femur fractures. Methods: This prospective study, conducted in 93 patients with distal end femur fractures. Patients were randomly assigned to either open reduction (OR) or closed reduction (CR) groups. Functional outcomes were assessed using the Knee Society Score (KSS) and SF-36 health survey at six months post-operation, alongside radiographic evaluations of fracture alignment and healing. Data were analyzed using SPSS version 21.0, with statistical significance set at p < 0.05. Inclusion criteria were adults with confirmed fractures, while exclusions included pathological fractures and severe comorbidities. Results: The study found that open reduction (OR) for distal end femur fractures resulted in significantly better functional outcomes, as measured by the Knee Society Score (KSS) and SF-36 health survey scores, compared to closed reduction (CR). The OR group also showed better radiographic alignment and fewer cases of malalignment, delayed union, and non-union. However, the incidence of postoperative complications was similar between the two groups. These findings suggest that while OR may offer superior functional and anatomical outcomes, CR techniques can still be effective with fewer complications. Conclusion: Open reduction provides superior functional outcomes and better fracture alignment in distal end femur fractures compared to closed reduction. However, closed reduction is associated with fewer postoperative complications. Recommendations: Surgeons should consider the patient’s overall health, the complexity of the fracture, and potential complications when choosing the reduction technique for distal end femur fractures. Further studies with larger sample sizes and longer follow-up periods are recommended to validate these findings.
Abstract (English)
Background: Distal end femur fractures are complex injuries that pose significant challenges in orthopedic practice. The functional outcomes of these fractures can be influenced by the method of reduction employed—either open or closed reduction. Aim: This study aims to evaluate and compare the functional outcomes of open and closed reduction techniques for treating distal end femur fractures. Methods: This prospective study, conducted in 93 patients with distal end femur fractures. Patients were randomly assigned to either open reduction (OR) or closed reduction (CR) groups. Functional outcomes were assessed using the Knee Society Score (KSS) and SF-36 health survey at six months post-operation, alongside radiographic evaluations of fracture alignment and healing. Data were analyzed using SPSS version 21.0, with statistical significance set at p < 0.05. Inclusion criteria were adults with confirmed fractures, while exclusions included pathological fractures and severe comorbidities. Results: The study found that open reduction (OR) for distal end femur fractures resulted in significantly better functional outcomes, as measured by the Knee Society Score (KSS) and SF-36 health survey scores, compared to closed reduction (CR). The OR group also showed better radiographic alignment and fewer cases of malalignment, delayed union, and non-union. However, the incidence of postoperative complications was similar between the two groups. These findings suggest that while OR may offer superior functional and anatomical outcomes, CR techniques can still be effective with fewer complications. Conclusion: Open reduction provides superior functional outcomes and better fracture alignment in distal end femur fractures compared to closed reduction. However, closed reduction is associated with fewer postoperative complications. Recommendations: Surgeons should consider the patient’s overall health, the complexity of the fracture, and potential complications when choosing the reduction technique for distal end femur fractures. Further studies with larger sample sizes and longer follow-up periods are recommended to validate these findings.
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IJPCR,Vol16,Issue5,Article414.pdf
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Additional details
Dates
- Accepted
-
2024-04-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue5,Article414.pdf
- Development Status
- Active
References
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