Management of Distal Femoral Fractures- A Comparitive Study Between Supracondylar Nail and Distal Femoral Locking Plate

Abstract

BACKGROUND Distal Femoral Fracture (DFF) poses a considerable therapeutic challenge in management, despite new fixation options. Anatomic reduction, stabilisation, early weight bearing and mobilisation are the main aims of the fracture management. Operative treatment has become a standardised procedure. Earlier stabilisation was usually achieved by an osteosynthesis with condylar screws and plates. MATERIALS AND METHODS This is a prospective study, 40 patients with fracture of DFF were treated with retrograde femoral nail and DFLP. RESULTS The mean age in the two groups was 52.25 years (range 20-60 years) with mean follow-up of 2.1 years (range 1.5-2.0 years). Majority of patients were males in both groups. Mechanism of injury was high energy trauma like RTA in 30 patients and low energy impact in 10 patients. The patients were assessed for fracture union, function and complications at regular follow-up interval. CONCLUSION LCP plating proved to the better choice than DFN for treating DFF with respect to surgical duration, mobilisation, fracture union, weight bearing, range of movements and complications.

Clinical study on orthopaedic treatment of chronic osteomyelitis with soft tissue defect in adults

“…Thorough debridement, necrotic tissue removal, multiple operations, and repeated incision will lead to local scar contracture, and long-term slow inflammation will lead to local soft tissue hardening and elasticity reduction, which will lead to local soft tissue coverage difficulties. 31 How to use an effective way to achieve soft tissue repair is a more difficult clinical problem in the treatment of slow osteomyelitis, but also the key to the success of treatment. Multiple flap transfer technique in plastic surgery plays an important role in complex wounds of lower limbs.…”

Comparative study of outcome of retrograde intramedullary nailing and locking compression plating of distal femoral fractures in adults

“…showed that LCP plating proved to be the better choice than DFN for treating distil femur fracture with respect to surgical duration, mobilization, fracture union, weight bearing, range of motion and complications [9] . Kumar SK et al concluded that distal femoral locking plate in the treatment of choice in the management of comminuted distal femoral fractures especially type A fractures where they had found higher Neer score [10] .…”