Clinical Outcome of Supracondylar Femoral Fractures Managed Locking Plate Osteosynthesis in a Rural Hospital
DOI:
https://doi.org/10.37506/ijfmt.v14i4.12616Keywords:
Distal femur fractures; clinical outcome; Neer’s scoreAbstract
Introduction: Distal femur fractures in the supracondylar region accounts for approximately seven per cent
of all femur fractures and are very challenging to manage. These fractures occurs majorly due to severe
grade of injury in young age groups and low grade injury in geriatric people with significant soft tissue
injury with joint surface involvement and is bimodally distributed.
Material and Method: This prospective study consisted of 45 patients of supracondylar femur fracture
surgically managed by locking plate osteosynthesis in Department of Orthopaedics at our institute within
the study period of 2 years from June 2016 to June 2018. Functional outcome was measured using Neer’s
scoring. Patient were followed up regular intervals of 12 weeks and last follow up was done at the end of 1
year.
Results: 45 patients were studied i.e 36 males and 9 females with a mean age of 45.46±17.55SD years.
Road accident was the most common cause of injury (71.1%),AO classification was used to classify fracture
configuration and most common was type “33 C3” (26.67%). 39 patients (86.66%) were treated with distal
femur locking plate osteosynthesis and 6 patients (13.33%) with external fixation which was later converted
into plate osteosynthesis after infection control. Knee stiffness (17.78%) was a common complication and
shortening was seen in 6 patients (13.33%). Neer’s scoring was used to calculate outcome of patients in
which 31(68.89%) patients had excellent to good outcome, 9 patients had fair and 5 patients had poor
outcome.
Conclusion: Distal femoral locking plate can be considered as a suitable choice for achieving adequate
fixation in distal femoral fractures as there was significant progressive increase in Neer’s outcome scores in
majority cases
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