Management of distal femoral fractures treated with locking compression plate: a prospective study

P. Sai Vikranth; V. Chaitanya; Vamshi Varenya N.

doi:10.18203/issn.2455-4510.IntJResOrthop20191788

Authors

P. Sai Vikranth Department of Orthopedics, Mahavir Institute of Medical College, Vikarabad, Telangana, India
V. Chaitanya Department of Orthopedics, Mahavir Institute of Medical College, Vikarabad, Telangana, India
Vamshi Varenya N. Department of Orthopedics, Mahavir Institute of Medical College, Vikarabad, Telangana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20191788

Keywords:

Fracture distal femur, Locking compression plate, Knee range of motion, Neer’s scoring, Classification

Abstract

Background: Distal femoral fractures are extremely common and represent 6-8% of all the femoral fractures treated by orthopaedic surgeons. Near anatomical reduction is most important in these fractures to obtain near good functional results. A variety of treatment options are proposed for distal femoral fractures of the treatment with distal femoral LCP has yielded good results. In this study we did a prospective study of 30 patients treated with locking compression plates.

Methods: There were 30 patients both male and female of different age groups treated by plate. All the patients were followed up in orthopaedic department prospectively for 12 months between November 2017 to November 2018. The functional and radiological outcomes were assessed.

Results: The study included 30 patients both male and female in age group between 20 and above 60. Average follow up was 12 months using Neer’s scoring system we had excellent 60%, good 26.6%, fair 6.7%, poor 6.7%.

Conclusions: The locking compression plate along with active physiotherapy proved to be better for distal femoral fractures.

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Author Biographies

P. Sai Vikranth, Department of Orthopedics, Mahavir Institute of Medical College, Vikarabad, Telangana, India

assistant professor

department of orthopedics

Vamshi Varenya N., Department of Orthopedics, Mahavir Institute of Medical College, Vikarabad, Telangana, India

Senior Resident, Department Of Orhtopaedics

References

Arneson TJ, Melton LJ 3rd, Lewallen DG, et al. Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965-1984. Clin orthop. 1988;234:188-94.

Schandelmaier P, Partenheimer A, Koenemann B, Grun OA, Krettek C. Distal Femoral Fractures and LISS Stabilization. Injury. 2001;32:55-63.

Martinet O, Cordey J, Harder Y, Maier A, Bühler M, Barraud GE. The epidemiology of fractures of the distal femur. Injury. 2000;31(3):62-3.

Michael Z, Mohit B, Marek DJ, Cole PA, Kregor PJ. Operative treatment of acute distal femur fractures: systematic review of 2 comparative studies and 45 case series (1989-2005). J Orthop Trauma. 2006;20:366-71.

Kregor PJ, Stannard J, Zlowodzki M, Cole PA, Alonso J. Distal femoral fracture fixation utilizing the Less Invasive Stabilization System (L.I.S.S.): The technique and early results. Injury. 2001;32:32-47.

Schutz M, Muller M, Regazzoni P, Höntzsch D, Krettek C, Van der Werken C, et al. Use of the Less Invasive Stabilization System (LISS) in patients with distal femoral (AO33) fractures: a prospective multicenter study. Arch Orthop Trauma Surg. 2005;125(2):102-8.

Giles JB, Delee JC, Heckman JD. Supracondylar-Intercondylar fractures of femur treated by supracondylar plate and lag screw. JBJS. 1982;6:864-70.

Hall MF. Two-Plane Fixation of acute supracondylar and intercondylar fractures of the femur. South Med J. 1978;71:1474.

Kregor PJ, Stannard JA, Zlowodzki M. Treatment of distal femur fractures using the less invasive stabilization system: surgical experience and early clinical results in 103 fractures. J Orthop Trauma. 2004;18:509-20.

Heather V, Theresa H, Sontich JK, Patterson BM. Failure of LCP condylar plate fixation in the distal part of the femur. J Bone Joint Surg. 2006;88:846-53.

Neer CS, Gratham SA, Shelton ML. Supracondylar fractures of adult femur. JBJS. 1967;49:591-613.

Egol KA, Kubiak EN, Fulkerson E, Kummer FJ. Koval KJ. Biomechanics of Locked Plates and Screws. J Orthop Trauma. 2004;18(8):488-93.

Frigg R, Appenzeller A, Christensen R, Frenk A, Gilbert S, Schavan R. The development of the distal femur Less Invasive Stabilization System (LISS). Injury. 2001;32:24-31

Yeap EJ, Deepak AS. Distal Femoral Locking Compression Plate Fixation in Distal Femoral Fractures: Early Results. Malaysian Orthop J. 2007;1:12-7.

Zlowodzki M, Bhandari M, Marek DJ, Cole PA, Kregor PJ. Operative treatment of acute distal femur fractures: systematic review of 2 comparative studies and 45 case series (1989 to 2005). J Orthop Trauma. 2006;20(5):366-71.

Vallier HA, Hennessey TA, Sontich JK, Patterson BM. Failure of LCP condylar plate fixation in the distal part of the femur. A report of 6 cases. JBJS Am. 2006;88(4):846-53.

Henderson CE, Kuhl LL, Fitzpatrick DC, Marsh JL. Locking plates for distal fem ur fractures: is there a problem with fracture healing? J Orthop Trauma. 2011;25(1):8-14.

Greiwe RM, Archdeacon MT. Locking plate technology: current concepts. J Knee Surg. 2007;20(1):50–5.

Erhardt JB, Grob K, Roderer G, Hoffmann A, Forster TN, Kuster MS. Treatment of periprosthetic femur fractures with the non-contact bridging plate: a new angular stable implant. Arch Orthop Trauma Surg. 2008;128(4):409–16.

Stoffel K, Dieter U, Stachowiak G, Gachter A, Kuster MS. Biomechanical testing of the LCP-- how can stability in locked internal fixators be controlled. Injury. 2003;34(2):11–9.