Functional and Radiographic Evaluation of Locking Plate Treatment for Distal Femoral Fracture
- 1. Senior Resident, Department of Orthopedic, Government Medical College Bettiah, Bihar, India
- 2. Associate Professor, Department of Orthopedic, Deben Mahata Government Medical College, Purulia, West Bengal, India
Description
Introduction: Researchers have reported positive outcomes when treating distal femur fractures with distal femur nails, dynamic condylar screws, and even the addition of a medial plate to a distal femur locking plate. In this study, we investigate the potential of a distal femur locking device to prevent extraarticular, partial, or intraarticular distal femur fractures. Numerous organisations from throughout the world have published encouraging findings. to investigate the functional and radiological results of open reduction and internal fixation with a distal femur locking plate for distal femoral fractures in skeletally mature patients. Method: This was a prospective study carried out at Government Medical College Bettiah, Bihar from January 2020 to March 2021 with a one-year follow-up. There were 24 post-traumatic distal femur fractures in skeletally mature patients. Patients with open Gustilo-Anderson grade 3B and 3C distal femur fractures and pathological distal femur fractures were not included in the study. Patients with any fracture in the ipsilateral limb other than the distal femur were disqualified from the research. Follow-up was done at two months, five months, and one year, and evaluation was done using the Neer grading system. Using the SPSS version, the statistical data analysis was completed. A p-value of less than 0.04 was deemed significant. Result: All patients experienced union after adhering to the principles of fracture reduction, with a mean time to radiological union of 18 weeks. The median range of motion (ROM) was 108 degrees, with excellent to satisfactory Neer scores for 19 patients. There were 8 cases in our study who needed additional procedures. All eight of these cases, along with case number two, required the initial insertion of antibiotic cement beads. During the course of our study, 2 patients experienced problems in the form of infection (1 case) and mal-union (1 case), however both patients recovered well. Conclusion: The distal femur locking plate, which is the primary implant of choice for distal femur fractures of all types, can produce positive results on its own. Best results are anticipated if fracture fixation is carried out in accordance with all fundamental fracture fixing principles and makes use of the mechanical qualities of a locking plate.
Abstract (English)
Introduction: Researchers have reported positive outcomes when treating distal femur fractures with distal femur nails, dynamic condylar screws, and even the addition of a medial plate to a distal femur locking plate. In this study, we investigate the potential of a distal femur locking device to prevent extraarticular, partial, or intraarticular distal femur fractures. Numerous organisations from throughout the world have published encouraging findings. to investigate the functional and radiological results of open reduction and internal fixation with a distal femur locking plate for distal femoral fractures in skeletally mature patients. Method: This was a prospective study carried out at Government Medical College Bettiah, Bihar from January 2020 to March 2021 with a one-year follow-up. There were 24 post-traumatic distal femur fractures in skeletally mature patients. Patients with open Gustilo-Anderson grade 3B and 3C distal femur fractures and pathological distal femur fractures were not included in the study. Patients with any fracture in the ipsilateral limb other than the distal femur were disqualified from the research. Follow-up was done at two months, five months, and one year, and evaluation was done using the Neer grading system. Using the SPSS version, the statistical data analysis was completed. A p-value of less than 0.04 was deemed significant. Result: All patients experienced union after adhering to the principles of fracture reduction, with a mean time to radiological union of 18 weeks. The median range of motion (ROM) was 108 degrees, with excellent to satisfactory Neer scores for 19 patients. There were 8 cases in our study who needed additional procedures. All eight of these cases, along with case number two, required the initial insertion of antibiotic cement beads. During the course of our study, 2 patients experienced problems in the form of infection (1 case) and mal-union (1 case), however both patients recovered well. Conclusion: The distal femur locking plate, which is the primary implant of choice for distal femur fractures of all types, can produce positive results on its own. Best results are anticipated if fracture fixation is carried out in accordance with all fundamental fracture fixing principles and makes use of the mechanical qualities of a locking plate.
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IJPCR,Vol15,Issue1,Article147.pdf
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Additional details
Dates
- Accepted
-
2023-01-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue1,Article147.pdf
- Development Status
- Active
References
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