A study to evaluate functional outcomes of distal femur fractures

Abstract

Purpose: Despite advances in techniques and improvements in surgical implants, treatment of distal femoral fractures remains a challenge in many situations. Debate continues around choice of implant for fixation of metaphyseal-diaphyseal fractures. In this prospective study, we had evaluated and compared clinical and radiological outcomes of distal femur fracture stabilization. Study design: We conducted interventional study on adult patients having distal femur fractures. 58 fractures were presented during study period. 12 patients were excluded due to Polytrauma (6), head injuries (2), spine injuries (2) and unwilling to participate (2). Forty six patients were evaluated at the end of study. Demographic variables, fracture pattern, mode of injury, union time, non union, and complications were recorded in proforma evaluated at the end of follow up using Pritchett outcome scores. Results: Mean age was 44.7±18.18 yrs. Fifty percent had AO 3.3C injuries. 47.8% patients underwent distal femoral locked plate fixation. 26% had open fractures. 45.7% fractures united within 6 months of surgical procedure. 32.6% patient had excellent outcome. Loss of fixation was related to pain and tendency to worse outcome according to Pritchett score. Conclusion: Stable fixation and early knee joint mobilization are important factors for good functional outcome of distal femoral fracture.

Seasonal variation of femoral fractures in the state of São Paulo, Southeast Brazil

“…Femoral fractures are a common cause of mortality and functional loss, mainly among older people 1 , 2 . Osteoporosis is one of the main risk factors for these fractures 3 , and other known risk factors are falls, early menopause, and sedentary lifestyle 1–4 . It is estimated that the life expectancy of patients suffering from femoral fracture is reduced from 15% to 20% 4 .…”