Peri-implant plastic surgery aims at improving the esthetic aspects of smile and masticatory function. Over the years, several techniques such as tissue punch technique, full thickness flaps, and scalloping adjustment of flaps around implants have been employed; it was very difficult to achieve a papilla like formation around implants. These added time and expense of the final results and led to undesirable complications. In order to overcome these difficulties, this case report describes a surgical technique where in papilla like formation and increase in width of attached gingiva around implants can be achieved with a single surgical procedure.

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Distal femoral fractures have been one of the greatest treatment challenge since ages. Before 1970, conservative treatment is associated with risk related with prolonged bed rest, and immobilization, persistent angulatory deformity, knee joint incongruity and loss of knee motion with poor final outcome. Due to continued research by AO, better implants are now available promising better results. DF-LCP is one of those recently developed implants. Present study is designed to confirm the utility of DF-LCP as a better substitute for the treatment of supracondylar fracture femur. A prospective study was conducted from June 2016 to July 2018 in the Department of Orthopaedics on 30 patients (21-71 yrs old, 19 males, 11 females) with distal femoral fractures. They were treated using DF-LCP and followed up for 6 -18 months. Results were evaluated using Neer's rating System. Average union-time was 15.1 week. There were 2 delayed union and no nonunion. Average time taken for full weight bearing was 13.43 weeks. Overall average knee flexion in 30 patients in this study was 114.47°. Neer's score was assigned for each patient after 24 to 36 weeks. Using this scale 16 cases (53.3%) showed excellent, 11 cases (36.7%) good and 3 cases (10%) poor result. Conclusion: DF-LCP is a better implant for OTA type A and type C supracondylar femur fractures in both young and elderly patients with osteoporosis.

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