Evaluation of Results of Locking Compression Plate in Distal Femur Fractures
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 1
Abstract
Aim of Study: The aim of this study is to treat distal femur fractures with locking compression plate (LCP) in 30 cases and to evaluate their functional and radiological outcome. Materials and Methods: The present study was conducted in the Department of Orthopedics Surgery of SRMS-IMS, Bareilly, from November 2015 to July 2017. A total of 30 cases with 22 males and 8 females, fulfilling the inclusion criteria, with distal femur fractures were treated surgically with distal femoral-LCP using a direct lateral approach. 4.5 mm LCP, either of titanium or stainless steel, was used. All surgeries were done in supine position with a knee bolster under the affected limb and a tourniquet was used in all cases. Manual traction was used to reduce the fracture. Post-operatively, Oxford Knee Score was used to assess the functional outcome. Results: At 6 months’ final follow-up, 10 patients (33.33%) achieved range of motion between 120 and 140°, 17 cases (56.67%) achieved a read-only memory between 100 and 120°. 23 out of 30 cases (72.67%) showed a radiological union at 3 months’ follow-up. 7 cases (23.33%) had radiological union at 6 months (24 weeks) of follow-up. In the present study, 56.67% of cases that is 17 of 30 cases had Oxford Knee Score of more than 41, 12 cases that is 40% had a score between 34 and 40, and only 1 had score between 27 and 33. In the present study, 17 cases, i.e., 56.67% showed excellent functional outcome, while 12 cases showed good and 1 case had fair outcome. Conclusion: LCP in distal femoral fractures promotes early radiological union, good knee range of motion, decreased the post-operative hospital stay, with lesser infection rate as there is minimal soft tissue dissection. Finally, it can be concluded that the use of LCP provides good functional and radiological outcome in distal femur fractures.
Authors and Affiliations
Anuj Kumar Lal, S K Kaushik, Utkal Gupta, Vivek Agarwal, Shubham Anant
Keywords
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