Penugonda Ravi Shankar1, B. Praveen Kumar2, Gangi Reddi Suresh Babu3, Seetham Raju VidyaSagar4
: AIMS AND OBJECTIVES: To study the functional outcome of fractures of distal end of femur in adults surgically treated with supracondylar nail and Dynamic condylar screw. To study the complications of Dynamic Condylar screw and supracondylar nail in fractures of distal end of femur in Adults.
RESULTS: In this study 20 cases of distal femoral fractures were treated with DCS and Supracondylar Nail. Our aim was to treat these fractures by rigid internal fixation, early mobilization and to know the outcome of DCS and SC Nail in these fractures.The mean age group of patients was 41.8 years in DCS and 38.4 in Nail group. Males were predominating in our study. Radiological union was seen at an average of 14.6 weeks in DCS and 13 weeks in supracondylar Nail. Average Range of Knee motion was 970 in DCS and 1010 in Nail. Overall results were excellent in 10 cases (4 in DCS, 6 in Nail) Good in 4 cases (2 in DCS, 2 in Nail) Poor in 6 cases (4 in DCS 2 in Nail).
CONCLUSION: From the study, We concluded DCS and Supracondylar Nail can be used for treating fractures of distal femur and supracondylar Nail is a better implant than DCS as it provides stable fracture fixation with minimal disruption of soft tissues allowing early joint mobilization. The simplicity of the procedure (SC Nail) also facilitates fracture fixation in patients with multiple trauma, including those with multiple fractures
