Distal femoral fractures are difficult to treat and ideal treatment of such fractures will include anatomical reduction, rigid fixation of articular surfaces and early mobilization of knee joint. The purpose of the study is to evaluate the end results of surgical management of fracture of distal end of femur using various surgical modalities and analyze the complications and the causes of fractures. Materials and methods: A Retrospective Study of 75 patients were evaluated from tertiary hospital for a period of july 2007 to July 2009. There were 75 fractures in 75 patients involving the distal femur, which were treated surgically by internal fixation using various surgical modalities. Results: At the end of study, the cases were followed up for an average period of 15.6 months and functional results were evaluated using modified Schatzker and Lambert (1982) criteria. 36 cases were fixed with Supra Condylar nail ( SC nail), 20 cases were fixed with dynamic Condylar screw(DCS), 6 cases were fixed with Dynamic Compression Plate(DCP), 6 cases were fixed with Cancellous Screw, 4 cases were fixed with Enders Nail, 3 cases were fixed with Ext. Fixator Conclusion; Fractures of distal femur can be very effectively treated by surgical methods. The satisfactory osteosynthesis of fractures and stable osteosynthesis is achieved by the right approach and correct surgical technique. Keywords: distal femur fracture, internal fixation, dynamic condylar screws, supracondylar femur nail
<p class="abstract"><strong>Background:</strong> Proximal femur fractures are one of the commonest fracture encountered in orthopaedic trauma practice. Dynamic hip screw (DHS) is the gold standard procedure for treatment for stable intertrochanteric fractures, however problem arises with unstable fractures in maintenance of neck shaft angle and proper reduction. Here we are giving results of trochanteric fractures treated with proximal femoral locking compression plate (PFLCP) as compared with dynamic hip screw (DHS).</p><p class="abstract"><strong>Methods:</strong> This study was a prospective study. Two groups of trochanteric fractures of 25 patients operated with DHS and LCP were taken. Each patient was followed-up from July 2011 to October 2012 for minimum of 12 month or till the bony union.<strong> </strong>Every fracture was classified according to AO classification. Functional results will be assessed as per modified Harris hip evaluation score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 25 patient treated with PFLCP, length discrepancy was .857 cm while that for DHS was 1.2 cm. The mean time of unaided walking with LCP Was 14.20 weeks while for DHS it was 16.20 weeks. The mean varus angulation for LCP 8 degree while for DHS 10.2 degree. In LCP in 1 case screw cut out from head and neck of femur while in DHS, same is seen in 2 cases and in addition loss of position of lag screw seen in 5 cases.one case was found with superficial infection in LCP while in case of DHS 3 cases with deep infection for that implant was removed and 6 cases were found with superficial infection.</p><p><strong>Conclusions:</strong> Proximal femoral locking plate (PFLCP) is simple, stable for fixation with fewer complications, and is an effective method for unstable intertrochanteric fractures. Comparing with DHS group, the locking plate has shorter operative time, fewer blood loss and drainage.</p>
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