A prospective study of treatment of distal femur fractures with locking condylar plate

Rekha, Y Bhanu; Reddy, Nishith

doi:10.18203/issn.2455-4510.intjresorthop20174699

Cited by 3 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a salvage surgery for 7 non-union cases, two patients added a plate on the medial side of the femur (one case also used bone grafting), the other one performed only bone grafting, two cases left an existing plate with replacing the position of the screw, one case replaced with a long plate, and last case was shortened the fracture site and performed bone grafting and plate fixation. Fourteen of all comminuted fracture cases and bone union were treated through shortening the fracture site as Rekha reported [16], and non-union was not observed in these cases. Tables 2, 3, and 4 summarize the univariate analysis.…”

Section: Resultsmentioning

confidence: 99%

Clinical outcomes of treatment with locking compression plates for distal femoral fractures in a retrospective cohort

et al. 2019

View full text Add to dashboard Cite

BackgroundPlate fixation is one of the standard surgical treatments for distal femoral fractures. There are few reports on the relationship between the screw position and bone union when fixing by the bridging plate (relative stability) method.MethodsThis retrospective study included 71 distal femoral fractures of 70 patients who were treated with the locking compression plate for distal femur (DePuy Synthes Co., Ltd, New Brunswick, CA, USA). The following measurements were evaluated and analyzed: (1) bone union rate, (2) bridge span length (distance between screws across the fracture), (3) plate span ratio (plate length/bone fracture length), (4) number of empty holes (number of screw holes not inserted around the fracture), and (5) medial fracture distance (bone fracture distance on the medial side of the distal femur). Patient demographics (age), comorbidities (smoking, diabetes, chronic steroid use, dialysis), and injury characteristics (AO type, open fracture, infection) were obtained for all participants. Univariate analysis was performed on them.ResultsOf 71 fractures, 26 fractures were simple fractures, 45 fractures were comminuted fractures, and 7 fractures resulted in non-union. Non-union rate was significantly higher in comminuted fractures with bone medial fracture distance exceeding 5 mm.Non-union was founded in simple fractures with bone medial fracture distance exceeding 2 mm, but not significant (p = 0.06). In cases with simple fractures, one non-union case had one empty hole and one non-union case had four empty holes, whereas in cases with comminuted fractures, five non-union cases had two more empty holes.ConclusionsWe concluded that bone fragment distance between fracture fragments is more important than bridge span length of the fracture site and the number of empty holes. Smoking and medial fracture distance are prognostic risk factors of nonunion in distal femoral fractures treated with LCP as bridging plate.

show abstract

Section: Resultsmentioning

confidence: 99%

Clinical outcomes of treatment with locking compression plates for distal femoral fractures in a retrospective cohort

et al. 2019

View full text Add to dashboard Cite

show abstract

Evaluation of Results of Distal Femur Locking Plate in Distal Femur Fractures

Harshwardhan

Raj

2021

ijsr

View full text Add to dashboard Cite

Background: The choice of distal femur locking plate in distal femur fractures has been a topic of debate. This study was performed to evaluate the results of distal femur locking plate in distal femur fractures. A prospective Material and Methods : randomized study of 30 patients with distal femur fracture was conducted at Department of Orthopaedics, JLN Medical College, Ajmer from January 2019 to July 2020 and followed up from 6 months to 18 months for a minimum of 6 months duration. The distal femur locking compres Implants used : sion plate. Classification system : AO Classication. Clinical and functional outcomes were assessed using Ra Results & Observations : smussen's functional knee score. Complications of fractures and operative treatment were assessed. The results of entire study group showed 18 excellent, 10 good, 1 fair and 1 poor. Conclusion : We observed and recommend that the distal femur LCP is an optimal tool of good xation for fractures of distal femur.

show abstract

Study of Clinical Results and Functional Outcome of Patients With Distal Femur Fracture Treated With Dual Plating

Manjeswar¹,

Kale²,

Raithatha³

et al. 2023

Cureus

View full text Add to dashboard Cite

IntroductionDistal femur fracture has been routinely fixed with a single lateral locking plate. This method of fixation in intra-articular distal femur fractures has proved to give a higher outcome of varus collapse as well as higher rates of mal-union due to inadequate fixation of the medial aspect of the distal femur. To address this drawback of single lateral plating, the use of medial assisted plating (MAP) has been introduced recently, which was proposed to give better stability to the medial fragments. This Is a prospective case series of 50 patients with distal femur fractures treated with dual plating. Materials and methodsFifty cases of patients with distal femur fractures were treated with dual plating between August 2020 and September 2022. Patients were followed up postoperatively till the third month, when patients were assessed clinically and radiologically. Range of motion of the knee, postoperative fracture displacement, limb shortening, and signs of union and infection were checked. Neer's scoring and Kolmet's scoring were used to grade the outcome for the patients. ResultsThe mean age of the patients was 39. Only 12% of the cases were open fractures. Eighty-four percent of the cases did not have fixed flexion deformity (FFD) and only 4% had FFD of 15 degrees; 72% of the cases achieved flexion of the knee beyond 120 degrees. Eighty-four percent of patients had normal walking ability by the 12th week postoperatively; 16% of the cases had a postoperative displacement of more than 1.6 cm, with the maximum being 2.5 cm. ConclusionFrom the study, we have concluded that outcomes were better for fractures of distal femur when treated with dual fixation, probably due to superior fixation and earlier postoperative mobilization.

show abstract

A prospective study of treatment of distal femur fractures with locking condylar plate

Cited by 3 publications

References 4 publications

Clinical outcomes of treatment with locking compression plates for distal femoral fractures in a retrospective cohort

Clinical outcomes of treatment with locking compression plates for distal femoral fractures in a retrospective cohort

Evaluation of Results of Distal Femur Locking Plate in Distal Femur Fractures

Study of Clinical Results and Functional Outcome of Patients With Distal Femur Fracture Treated With Dual Plating

Contact Info

Product

Resources

About