Role of distal femoral locking plate in management of distal femoral fracture: a prospective study


  • Rajni Ranjan Department of Orthopaedics, School of Medical Sciences and Research and Associated Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Rakesh Kumar Department of Orthopaedics, School of Medical Sciences and Research and Associated Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Ajeet Singh Department of Orthopaedics, School of Medical Sciences and Research and Associated Sharda Hospital, Greater Noida, Uttar Pradesh, India



Distal femoral fracture, Distal femoral locking plate, Pritchett rating system, Bone grafting


Background: Distal femoral fracture one of common surgical challenges for an orthopaedic surgeon. Distal femoral locking plate is a good implant to be used in this anatomical location. Aim of our study was to review functional outcome, union time and complications in distal femoral fracture treated with distal femoral locking plate.

Methods: A prospective study was done during June 2012 to July 2016. Patients were included on the basis of inclusion and exclusion criteria. These patients were managed with distal femoral locking plate by close or open method. Pritchett rating system was used to assess functional outcome of patient.

Results: Total 28 patient were enrolled in our study. There were 21 male and 7 female. The age range was from 21 to 68 years. Functional outcome was excellent in 14 patient, good in 7 Patient fair in 3 and poor 4.

Conclusions: Distal femoral locking plate is a reliable implant for treatment of distal femoral fracture including osteoporotic fractures. Proper surgical technique is key to good result.


Crist BD, Della Rocca GJ, Murtha YM Treatment of acute distal femur fractures. Orthopedics. 2008;31(7):681-90.

Hoffmann MF, Jones CB, Sietsema DL, Tornetta P 3, Koenig SJ. Clinical outcomes of locked plating of distal femoral fractures in a retrospective cohort Orthop Surg Res. 2013;27(8):43

Doshi H, Wenxian P. Clinical outcomes of distal femoral fractures in the geriatric population using locking plates with a minimally invasive approach. Geriatr Orthop Surg Rehabil. 2013;4:16–20.

Ehlinger M, Ducrot G, Adam P, Bonnomet F. Distal femur fractures. Surgical techniques and a review of the literature (2013) Orthopaedics and Traumatology: Surgery and Research. 2013;99(3):353-60.

Rodriguez EK, Boulton C, Weaver MJ, Herder LM, Morgan JH, Chacko AT, et al. Predictive factors of distal femoral fracture nonunion after lateral locked plating: a retrospective multicenter case-control study of 283 fracture. Injury. 2014;45(3):554-9.

Nayak RM, Koichade MR, Umre AN, Ingle MV. Minimally invasive plate osteosynthesis using a locking compression plate for distal femoral fractures. J Orthop Surg. 2011;19(2):185-90.

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 (Suppl 3):SC32-47.

Lujan TJ, Henderson CE, Madey SM, Fitzpatrick DC, Marsh JL, Bottlang M. Locked plating of distal femur fractures leads to inconsistent and asymmetric callus formation. J Orthop Trauma. 2010;24:156-62.

Pritchett JW. Supracondylar Fractures of the Femur. Clin Orthop Related Res. 1984;184:173-7.

Kenneth J, Wilkens, Shane C, Mark AL. Polyaxial Locking Plate Fixation in Distal Femur Fractures: A Biomechanical Comparison. J Orthop Trauma. 2008;22:624–8.

Malik I, Khan R, khurana R, Sharma S. Comparative study of management of distal femoral fractures managed by dynamic condylar screw and distal femoral locking compression plate. Webmed Central Orthop. 2015;6(9):WMC004976.

Kanabar P, Kumar V, Owen PJ, Rushton N. Less invasive stabilisation system plating for distal femoral fractures. J Orthop Surg. 2007;15(3):299-302.

Virk JS, Garg SK, Gupta P, Jangira V, Singh J, Rana S. Distal Femur Locking Plate: The Answer to All Distal Femoral Fracture. J Clin Diagnos Res. 2016,10(10):RC01-5.

Rizk AS, Al-Ashhab ME. Primary bone grafting with locked plating for comminuted distal femoral fractures: can it improve the results? Egypt Orthop J. 2015;50:77-83.

Toro G, Calabrò G, Toro A, de Sire A, Lolascon G. Locking plate fixation of distal femoral fractures is a challenging technique: A retrospective review. Clin Cases Miner Bone Metab. 2015;12(Suppl 1):55-8.






Original Research Articles