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Background: Distal fractures of the femur especially comminuted, intra-articular distal femoral fractures AO classification 33-C remain challenging fractures for orthopaedic surgeons. Due to soft tissue damage, comminution, articular involvement and extensor mechanism injury functional outcome is poor in fracture distal femur. Materials and Methods:We have done prospective study of 20 patients of intraarticular distal femur fracture AO classification 33-C treated operatively with locking compressive plate at S.S.G. hospital and medical college, Baroda during January 2014 to March 2016.We have studied functional outcome using neer's score, radiological outcome and complication associated with fracture fixation using LCP. Result: Out of 20 patients 14 were males and 6 were females. The youngest patient was 18yrs old and the oldest 70 yrs.4 patients had C1,10 pt had C2 and 6 pt had C3 type of fracture according to AO classification,12 patients were operated with extensile lateral approach.8 patients were operated using Swashbuckler approach. In 3 patients primary bone grafting was done for severely comminuted type C3 fracture. Secondary bone grafting was done in 1 delayed union case at 4 month. Pt shows sign of union at 9 month.1 Pt develop non-union treated with secondary bone grafting at 9 month with signs of union at 12 month.1 pt develop infection on 4 th post-operative day resolved with surgical debridement and antibiotic. The average duration of weight bearing was12 weeks. Average time for fracture healing was 20 weeks. Average range of motion of knee was 110 degrees. Among 20 patients there were 9 excellent result, 5 good results, 3 had fair results and 3 had poor results. Discussion: The LCP acts on the internal fixator principle as screws once locked to the plate do not pull the fracture towards the implant, and hence there is no displacement of the fracture once reduced. Distal femur locking plate provides angular stability and provides multiple options to secure fracture fragments, both metaphyseal and articular. In our study we get better functional outcome using locking compression plate for intraarticular distal femoral fracture. Along with anatomical reduction and rigid fixation, early mobilization and aggressive physiotherapy are key for better functional outcome. Conclusion: In present study better functional outcome achieved using locking compression plate for intraarticular distal femoral fracture along with aggressive physiotherapy.

Fractures of the humerus comprise approximately 5% to 8% of all extremity fractures, and shaft fractures account for approximately 3% of all long-bone fractures. Majority of humerus shaft fracture can be treated with conservative management but nowadays surgical indications in humerus fracture are increasingly being adopted. In this study 20 patients of humerus shaft fractures has been rated with 4.5 dynamic compression plate with posterior approach in SSG Hospital Baroda. After one year follow up 19 patients out of 20 having good functional result.

BACKGROUND: Distal femur fractures with intra-articular extension are complex injuries which have been treated by different methods. The authors studied the functional outcome of management of distal femur fractures with the published literature. MATERIALS AND METHODS: Distal femur fractures with intra-articular extension treated with open reduction and internal fixation during the period Jan 2011-dec 2012 at Govt. Medical College, Surat formed the study population. They were evaluated to assess their clinical and functional results using Neer's Scoring system and compared with the available literature. The results were analyzed using different parameters; male vs. female, age distribution, functional outcomes and complications etc. RESULTS: The results were excellent in 56%, good in 24%, fair in 12%and poor in 08%. Results were assessed and found to be excellent in majority of cases with mean knee flexion being 94.1degrees, mean fracture union time of 16.7 weeks, with mean full weight bearing duration of 13.92 weeks complications being knee stiffness (5), delayed union (6), infection (7), shortening (5) knee pain (15) CONCLUSION: Surgery in the form of ORIF is recommended for distal femur fractures with intra articular extension for good outcome and early mobilization with minimum preventable complications.

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