Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially

Authors

  • Sujay K Mahadik Assistant Professor, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India https://orcid.org/0000-0002-9134-6423
  • Sasha Martyres Junior Resident, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India https://orcid.org/0000-0002-0682-4938
  • Mrutyunjay S Gaonkar Junior Resident, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India https://orcid.org/0000-0002-2112-6257
  • Anish W Isapure Senior Resident, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India https://orcid.org/0000-0001-9001-7428
  • Shrikant B Deshpande Professor, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India

DOI:

https://doi.org/10.3126/ajms.v12i3.32982

Keywords:

Distal femoral fracture, Locking compression plate, Titanium elastic nail, Functional outcome

Abstract

Background: Distal femur fractures are generally due to high velocity trauma particularly form road traffic accidents and fall from height. The treatment of distal femur fractures has evolved from conservative to operative to fixation of both lateral and medial columns of femur.

Aims and Objective:  The aim of this study was to evaluate the functional outcome of operated cases of comminuted fracture of lower end of femur fixed with locking compression plate laterally and augmented with titanium elastic nail system medially.

Materials and Methods: The present study was a prospective study carried out in Bharati Vidyapeeth Medical College and Hospital, Sangli after approval from institutional ethical committee. In this study, 20 patients with communited fracture of lower end of femur were included on the basis of a predefined inclusion and exclusion criteria. Detailed history was taken and clinical examination was done in all cases. After preanesthetic evaluation and relevant investigations patients were treated by reduction (close or open) and fixation was done by locking compression plate laterally and augmented with titanium elastic nail system medially. Patients were followed up at 6, 10 and 14 weeks for functional outcome by Neer’s scoring system and degree of flexion at knee joint.

Results: Out of 20 studied cases there were 16 (80%) males and 4 (20%) were females with a M:F ratio of 4:1. The mean age of male patients was found to be 42.81+/-14.79 whereas mean age of female patients was 40.5 +/- 14.36. The mean age of male and female patients was found to be comparable with no statistically significant difference (P=0.78). Most of the patient were diagnosed with the fracture of AO TYPE C3 (7 cases), followed by AO TYPE C1 (4 cases). Full weight bearing was achieved in 8 (40%) patients within 18 weeks whereas remaining 12 (60%) patients required more than 20 weeks for full weight bearing. 14 (70%) patients had excellent outcome whereas, Good, Fair and poor outcomes were seen in 4 (20%), 1 (5%) and 1 (5%) patient. On one-way ANOVA analysis, showed that the flexion was significantly higher in 12 weeks as that of the 6 weeks (P =<0.0001). Further the flexion was significantly higher in 24 weeks as that of the 6 and 12 weeks (P =<0.0001).

Conclusion: Our study found that locking compression plating laterally augmented with titanium elastic nail system medially for comminuted distal femoral fractures is a good fixation system and provides good angular stability.

Downloads

Download data is not yet available.
Abstract
245
PDF
557

Downloads

Published

2021-03-01

How to Cite

Mahadik, S. K., Martyres, S., Gaonkar, M. S., Isapure, A. W., & Deshpande, S. B. (2021). Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially. Asian Journal of Medical Sciences, 12(3), 81–87. https://doi.org/10.3126/ajms.v12i3.32982

Issue

Vol. 12 No. 3 (2021)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).