Madhuchandra Ramanand
BACKGROUND
Distal Femoral Fracture (DFF) poses a considerable therapeutic challenge in management, despite new fixation options. Anatomic reduction, stabilisation, early weight bearing and mobilisation are the main aims of the fracture management. Operative treatment has become a standardised procedure. Earlier stabilisation was usually achieved by an osteosynthesis with condylar screws and plates.
MATERIALS AND METHODS
This is a prospective study, 40 patients with fracture of DFF were treated with retrograde femoral nail and DFLP.
RESULTS
The mean age in the two groups was 52.25 years (range 20-60 years) with mean follow-up of 2.1 years (range 1.5-2.0 years). Majority of patients were males in both groups. Mechanism of injury was high energy trauma like RTA in 30 patients and low energy impact in 10 patients. The patients were assessed for fracture union, function and complications at regular follow-up interval.
CONCLUSION
LCP plating proved to the better choice than DFN for treating DFF with respect to surgical duration, mobilisation, fracture union, weight bearing, range of movements and complications.
