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ISSN 2063-5346
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A CASE SERIES ON COMMINUTED DISTAL FEMUR FRACTURES

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Dr. Vasanthkumar C1, DR R KARTHICK2*, Dr. Prof. Pugazhendhi G3
» doi: 10.48047/ecb/2023.12.si5a.0489

Abstract

Distal femur fractures have been more common recently, and older women and are more likely to suffer from one. The goal of the current study was to evaluate the functional and radiological results of internal fixation of distal end femur fractures treated surgically with a distal femoral locking compression plate. Additionally, to assess the success and side effects of the locking compression plate treatment of distal end femur fractures based on the rate of union, union time, infection, valgus and varus malalignment, and fixation failures. Ten patients were hospitalised in our dept of orthopaedics at Sree Balaji Medical College & Hospital. A prospective study was conducted in the Department of Orthopaedics, Sree Balaji Medical College and Hospital, Tamil Nadu, India, over a period of one year. It included10 patients with distal femur fracture admitted in department. Ages of the subjects ranged from 19 to 75. Of the n = 10 participants, 8 cases demonstrated radiological union within 20 weeks, with a union period of 16 weeks on average. In n = 10 patients, painfree weight bearing was accomplished in a mean of 12.2 weeks. There were 8 occurrences of limb shortening: 1 patient had a reduction of 1 to 2 cm. At the end of a year, the functional outcome was evaluated by acquiring the knee function using NEER’s Scoring System, 90% of the n = 10 participants had excellent to fair performance with no significant issues. Excellent (60%) patients had a functioning outcome, followed by Good (26%), Fair (10%), and Poor (4%) cases. The locking compression plate is an advancement in surgical care of these fractures, although it does not entirely resolve the enduring issues of union. It is an affordable and secure fixing method for the treatment of long bone fractures in any location. It is a favourable alternative for treatment because of the rate of union, enhanced range of motion, wound healing, improved articulation and stability, less incidence in re surgery and fast rehabilitation. Therefore, LCP may give great fixation in challenging conditions

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