Vol. 6 No. 01 (2022)
Original Article

Evaluation of Functional Outcome of Distal Femur Fractures Treated by Open Reduction and Internal Fixation with Locking Compression Plate and Screws

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Md. Shafiqul Islam
Assistant Professor, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
Jahidul Islam
Registrar, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
Md. Khademul Islam
Assistant Professor, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
Md. Rafiqul Islam Khan
Assistant Professor, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College Hospital, Barishal. Bangladesh
Md. Mehedy Hasan
Assistant Registrar, Department of Orthopaedic Surgery, Sher-E-Bangla Medical College, Hospital, Barishal. Bangladesh

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Abstract

Background: Distal femur fractures account for about 7% of all femur fractures. These fractures can lead to knee stiffness and have the tendency to collapse into varus. The management of distal femur fractures has seen a paradigm shift from nonoperative measures to biological fixation and evolution of modern implants like Locking Compression Plate has been used in current times. With the use of Locking Compression Plate double plating can be avoided. Objective: In our study, we have evaluated the short-term Functional Outcome of patients who underwent open reduction internal fixation with Locking Compression Plate using Sander’s criteria. Method & Materials. Ours is both prospective and retrospective study of 20 patients with distal femur fractures treated operatively from April 2018 to October 2020. Our surgical modality of treatment is open reduction and internal fixation with locking compression plate using standard lateral approach. We have used AO classification to classify the distal femur fractures. Results: our study, we have come to a conclusion that locking compression plate is a best option for both intra-articular and extra-articular distal femur fractures. Conclusion: It avoids the use of dual plating of distal femur which requires extensive soft tissue stripping in both sides, resulting in reduced blood supply, potential non-union and implant failure. Locking Compression Plate also helps in anatomical reduction of comminuted intraarticular fractures and it could also be used effectively in osteoporotic bone.

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Published 15-08-2022

Keywords

  • Distal Femur Fractures,
  • Locking Compression Plate (LCP),
  • Sander’s Criteria,
  • AO Classification

How to Cite

1.
Islam MS, Islam J, Islam MK, Khan MRI, Hasan MM. Evaluation of Functional Outcome of Distal Femur Fractures Treated by Open Reduction and Internal Fixation with Locking Compression Plate and Screws. Planet (Barisal) [Internet]. 2022 Aug. 15 [cited 2023 Feb. 4];6(01):125-34. Available from: https://bdjournals.org/index.php/planet/article/view/180