Association of aLDFA with functional outcome of distal femur fracture treated with locking plate

Authors

  • Ajeet Singh Department of Orthopaedics, RK Life Line Hospital, Sirsa, Haryana, India
  • Rakesh Kumar Department of Orthopaedics, SMS&R, Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Rajni Ranjan Department of Orthopaedics, SMS&R, Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Avijit Mahajan Department of Orthopaedics, IVY Hospital, Hosiarpur, Punjab, India
  • Nadeem Ahmad Department of Orthopaedics, Alshifa Multispeciality Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20183679

Keywords:

Type 33A, Type 33C, Varus collapse, aLDFA, Distal femoral locking plate

Abstract

Background: Distal femoral fracture is one of the common presentations in orthopaedic emergency. Stable fixation and early mobilization is necessary to avoid knee stiffness with maximum functional outcome. We have done a retrospective analysis of Type 33A (supracondylar) and type 33C (supraintercondylar) fracture with distal femoral locking plate. Close observation done by aLDFA for varus collapse and functional outcome.

Methods: 61 patients of Type 33A (supracondylar) and Type 33C (supraintercondylar) treated from January 2011 to august 2016 selected for the study. Functional and radiological outcome of fracture assed by mize criteria and aLDFA respectively. Most of the cases of Type 33C shows some amount of varus collapse specially type 33C3.

Results: 6 out of 8 patients treated with type 33C3 treated with isolated distal femoral locking plate showed varus collapse more than 10 associated with implant failure and non union.

Conclusions: Type 33C3 subset required a special consideration like dual plating or cortical strut graft on first go. aLDFA is strong predictor of for functional and radiological outcome.

Author Biographies

Ajeet Singh, Department of Orthopaedics, RK Life Line Hospital, Sirsa, Haryana, India

Consultant and Head

Department of orthopaedic

Rakesh Kumar, Department of Orthopaedics, SMS&R, Sharda Hospital, Greater Noida, Uttar Pradesh, India

orthopaedic , assistant professor

Rajni Ranjan, Department of Orthopaedics, SMS&R, Sharda Hospital, Greater Noida, Uttar Pradesh, India

orthopaedic , associate professor

Avijit Mahajan, Department of Orthopaedics, IVY Hospital, Hosiarpur, Punjab, India

orthopaedic , assistant professor

Nadeem Ahmad, Department of Orthopaedics, Alshifa Multispeciality Hospital, New Delhi, India

orthopaedic, consultant

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Published

2018-08-25

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Original Research Articles