Dual plating of intra articular distal femoral fractures by single incision anterior midline approach: A case series

Garg, Ashok; Sahu, Ankur; Sharma, Rakesh; Malik, Manmeet; Khare, Neeraj; Seth, Aditya

doi:10.22271/ortho.2021.v7.i2b.2623

Cited by 2 publications

(4 citation statements)

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“…Our results were comparable to the study by Markmiller et al, where the average range of motion was 0-110 degrees [31]. Garg et al, in their study, had a mean range of flexion up to 124 degrees [30].…”

Section: Discussionsupporting

confidence: 89%

“…Only 16% of cases had fair and poor outcomes. In the study by Garg et al, 50% of cases had excellent outcomes as per Neer's criteria, 30% had good outcomes, while fair and poor outcomes were 10% each [30]. In this study, 72% of cases had shortening of affected limbs less than 1 cm postoperatively, while only 16% of cases had more than 1.6 cm shortening.…”

Section: Discussionmentioning

confidence: 41%

“…Schutz et al noted 7% of cases had infection postoperatively [29], while Kregor et al noted 5% infection in his study [26]. In the study by Garg et al, 10% of cases had superficial infections, non-union, and knee stiffness each [30].…”

Section: Discussionmentioning

confidence: 86%

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Study of Clinical Results and Functional Outcome of Patients With Distal Femur Fracture Treated With Dual Plating

Manjeswar¹,

Kale²,

Raithatha³

et al. 2023

Cureus

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IntroductionDistal femur fracture has been routinely fixed with a single lateral locking plate. This method of fixation in intra-articular distal femur fractures has proved to give a higher outcome of varus collapse as well as higher rates of mal-union due to inadequate fixation of the medial aspect of the distal femur. To address this drawback of single lateral plating, the use of medial assisted plating (MAP) has been introduced recently, which was proposed to give better stability to the medial fragments. This Is a prospective case series of 50 patients with distal femur fractures treated with dual plating. Materials and methodsFifty cases of patients with distal femur fractures were treated with dual plating between August 2020 and September 2022. Patients were followed up postoperatively till the third month, when patients were assessed clinically and radiologically. Range of motion of the knee, postoperative fracture displacement, limb shortening, and signs of union and infection were checked. Neer's scoring and Kolmet's scoring were used to grade the outcome for the patients. ResultsThe mean age of the patients was 39. Only 12% of the cases were open fractures. Eighty-four percent of the cases did not have fixed flexion deformity (FFD) and only 4% had FFD of 15 degrees; 72% of the cases achieved flexion of the knee beyond 120 degrees. Eighty-four percent of patients had normal walking ability by the 12th week postoperatively; 16% of the cases had a postoperative displacement of more than 1.6 cm, with the maximum being 2.5 cm. ConclusionFrom the study, we have concluded that outcomes were better for fractures of distal femur when treated with dual fixation, probably due to superior fixation and earlier postoperative mobilization.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 41%

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Study of Clinical Results and Functional Outcome of Patients With Distal Femur Fracture Treated With Dual Plating

Manjeswar¹,

Kale²,

Raithatha³

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…An efficient and secure treatment option for intra-articular distal femoral fractures is dual plate fixation using an anterior midline approach with just one incision. Anatomical reduction, proper exposure, straight forward fracture fragment treatment and stable femoral distal fracture repair are only a few advantages(Garg et al, 2021).…”

mentioning

confidence: 99%

Comprehensive rehabilitation after supracondylar comminuted femur fracture managed with ORIF plate in osteosynthesis: A case report

Zade¹,

Dhage²,

Phansopkar³

2023

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Accidents on the highway as well as falls have become more common with the expansion of the transportation and construction industries. Patients have traditionally been instructed to use protective weight-bearing during the early rehabilitation phase following a well-fixed distal femoral fracture. Clinical finding: The patient had complained of pain and swelling over the thigh's lateral surface and unable to flex the knee joint and inability to bear weight on left lower limb pain on NPRS 8/10 on movement and on rest 6/10. Diagnosis:The X-ray reveals that comminuted supracondylar femur fracture and the CT report reveal that comminuted displaced fracture in the distal end of the femur, extending to involve lateral, medial condyles, inter condylar region and the articular margin. Conclusion: In this case, the rehabilitation routine helped the patient regain functional independence at home and at work by reducing pain and tenderness while also improving range of motion, muscle strength and endurance.

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Dual plating of intra articular distal femoral fractures by single incision anterior midline approach: A case series

Cited by 2 publications

References 0 publications

Study of Clinical Results and Functional Outcome of Patients With Distal Femur Fracture Treated With Dual Plating

Study of Clinical Results and Functional Outcome of Patients With Distal Femur Fracture Treated With Dual Plating

Comprehensive rehabilitation after supracondylar comminuted femur fracture managed with ORIF plate in osteosynthesis: A case report

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