Results of Distal femoral locking compression plate (DF-LCP) in supracondylar and intercondylar fractures of distal femur
Vaibhav Mohan Aterkar*
Assistant Professor, Department of Orthopedics, Smt. B. K. Shah Medical Institute and Research Center, Sumandeep Vidyapeeth, Piparia, Waghodia, Vadodara, Gujarat, India.
Introduction : Distal femoral fractures represent a challenging problem in orthopedic practice. Open reduction with internal fixation replaces previous trend of closed conservative management and external fixation. Distal femoral locking compression plate (DF-LCP) requires both locking and compression screw fixation of the femur shaft. This study was conducted to examine the short-term results, early complications and healing rate of distal femoral fractures treated with the DF-LCP. The aim of this study was to critically evaluate the results of this plate in different types of distal femoral fractures (open and close) both clinically as well as radio logically.
Methodology: 20 patients were included in the study. Lateral approach was performed as standard surgical technique. Functional results evaluated using knee society score.
Results: There were 17 males and 3 female patients of mean age 52.6 years. Road traffic Accident (65%) was the commonest mode of injury. Most were closed fractures (55%). There were 2 complications in the form of joint stiffness. 100% union rate was seen with an average union time of 17.25 weeks.
Conclusion: DF-LCP is an important armamentarium in treatment of Distal femur fractures especially when fracture is closed, severely comminuted and in situations of osteoporosis.
Keywords: Distal femur fractures, Locking compression plate, Internal fixation.