Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially
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 Objectiv...
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Manipal College of Medical Sciences, Pokhara
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doaj-b9887eb7ed384e9abfde2bc5c84998ca2021-03-01T21:41:42ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762021-03-011238187https://doi.org/10.3126/ajms.v12i3.32982Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system mediallySujay K Mahadik 0https://orcid.org/0000-0002-9134-6423Sasha Martyres 1https://orcid.org/0000-0002-0682-4938Mrutyunjay S Gaonkar 2https://orcid.org/0000-0002-2112-6257Anish W Isapure 3https://orcid.org/0000-0001-9001-7428Shrikant B Deshpande 4Assistant Professor, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India Junior Resident, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India Junior Resident, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India Senior Resident, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, India Professor, Department of Orthopedics Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, Maharashtra, IndiaBackground: 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.https://www.nepjol.info/index.php/AJMS/article/view/32982distal femoral fracturelocking compression platetitanium elastic nailfunctional outcome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sujay K Mahadik Sasha Martyres Mrutyunjay S Gaonkar Anish W Isapure Shrikant B Deshpande |
spellingShingle |
Sujay K Mahadik Sasha Martyres Mrutyunjay S Gaonkar Anish W Isapure Shrikant B Deshpande 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 distal femoral fracture locking compression plate titanium elastic nail functional outcome |
author_facet |
Sujay K Mahadik Sasha Martyres Mrutyunjay S Gaonkar Anish W Isapure Shrikant B Deshpande |
author_sort |
Sujay K Mahadik |
title |
Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially |
title_short |
Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially |
title_full |
Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially |
title_fullStr |
Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially |
title_full_unstemmed |
Functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially |
title_sort |
functional outcome of distal femoral fractures managed surgically using locking compression plate laterally and augmented with titanium elastic nail system medially |
publisher |
Manipal College of Medical Sciences, Pokhara |
series |
Asian Journal of Medical Sciences |
issn |
2467-9100 2091-0576 |
publishDate |
2021-03-01 |
description |
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. |
topic |
distal femoral fracture locking compression plate titanium elastic nail functional outcome |
url |
https://www.nepjol.info/index.php/AJMS/article/view/32982 |
work_keys_str_mv |
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