TO STUDY THE OUTCOSME FOLLOWING COMBINED MANAGEMENT OF FRACTURE DISTAL END OF FEMUR WITH IPSILATERAL PATELLAR FRACTURE: A PROSPECTIVE AND DESCRIPTIVE STUDY
Journal Title: International Journal Of Advances In Surgery - Year 2017, Vol 1, Issue 4
Abstract
AIM: To study the outcome following combined management of fracture distal end of femur with ipsilateral patellar fracture. METHODS: A hospital based Prospective, Interventional and Descriptive study was done at Department of Orthopedics , SMS Jaipur to compare the functional outcome (range of motion) and fracture healing following different modes of treatment in Supracondylar femur fracture with Ipsilateral fractured patella. A total of 35 patients fulfilling the inclusion criteria and excluding the exclusion criteria were included in the study after taking the written informed consent. Preoperative evaluation and X-Ray were done. They were then taken for surgical fixation. Femur fracture was fixed with Locking Compression Plate and Patellar Fracture was fixed with K-Wire Tension Band Wiring (TBW) , Encirclage , Patellectomy or conservative treatment. nd th th th Postoperatively, Wound inspection was done on 2 , 5 and 8 day. Sutures were removed on 15 day and patients were nd th th rd followed at 2 , 6 ,10 week and 3 month. Range of motion , time for radiological union and time required for weight bearing were recorded at every visit. Patient's functional results were evaluated using Friedman and Wyman scoring system . At the end of 3 months, the observations were compared and statistically analysed. RESULTS: After 3 months of follow up, Average age of presentation was 39.88+14.50 years. 82% patients were males. Locking compression plate was the most common method for fixation of supracondylar femur fracture. K-wire TBW was satisfactory method of reducing fractures of patella & helped in acquiring greater range of motion (p<0.001). Operating fracture patella along with distal femoral fractures helped in achieving greater range of movement (ROM) as compared to adopting conservative methods (P<0.001). CONCLUSION: Combined operative management of fractures of distal femur & patella have better restoration of ROM.
Authors and Affiliations
Dr. Anurag Dhaker, Dr. Mahendra Jourwal
Keywords
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