Management of intra-articular fracture of distal femur with LCP and Lag screws in adults

Daroch, Manjit S.; Vashisht, Deepak; Sreen, Sanjeev

doi:10.18203/2320-6012.ijrms20171241

Cited by 8 publications

(21 citation statements)

References 11 publications

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“…The nailing technique has disadvantages of lack of alignment control, intra-articular distribution of reaming debris and the intra-articular insertion [12] . Age incidence: In present study, the mean age was 41.4 years which is comparable to the observations of Daroch M S et al [21] . With mean of 45 years, Jillala S R et al [22] and Pascarella R et al [23] reported mean age as 51 and 62 years respectively.…”

Section: Discussionsupporting

confidence: 90%

“…Gender predilection: In our study, males were 56 (93.3%) and females were 4 (6.7%). In the studies conducted by Jillala S R et al [22] , there were 31 (54.38 %) males and 26 (45.61 %) females, Daroch M S et al [21] reported as males are more commonly involved with 25 males (83.33%) as compare to females with 5 Cases (16.67%) because males are involved more in outdoor activities, Pascarella R et al [23] reported female predominance with 35 male and 54 female patients, Acharya K N et al [26] reported 20 male and 7 female patients among study population. The reason might be road traffic accident being the predominant cause of trauma.…”

Section: Discussionmentioning

confidence: 94%

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Distal femur fracture, a comparative study of locking compression plate versus distal femur nail

Kurahatti¹,

Prabhu²,

Naik³

et al. 2019

Int. J. Orthop. Sci.

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Background: Distal femoral fractures reportedly account for less than 1% of all fractures and comprise between 4%-6% of all femoral fractures. The current method of open reduction and internal fixation has become evident in the recent years with good results being obtained with the AO blade plate, dynamic condylar screw and other implant systems like intramedullary retrograde nails and recently locking compression plate. Controversy still remains regarding the optimum device for distal femur fixation. Objectives: To compare functional outcomes of fractures of distal femur operated with distal femur locking compression plate and distal femur nail using range of motion at knee and Neers knee scoring system and to compare rate of complications associated with both treatment modalities. Materials and methods: In this retrospective study, 60 patients with displaced distal femur fractures presented to our hospital were studied from January 2012-june 2017. 30 patients underwent fixation with locking compression plate and rest 30 underwent distal femur nailing. Outcomes were measured and assessed at 1 months, 3 months and 6 months using Neers knee scoring system. Results: Union was achieved in all patients with mean time to radiological union being 20 weeks in retrograde nailing patients and 24 weeks in locking compression plating. Neer scores were graded as excellent in 51.7 % in retrograde nailing patients and 56.6 % in plating patients. Mean range of motion was more (115 degree) in retrograde nailing patients compared to locking compression plating patients (114 degree) at the end of follow up. Conclusion: There were no statistically significant differences found in functional outcome of the patients between the two surgical methods. Locking compression plate is better implant in comminuted intra-articular fractures of distal end of femur, particularly in elderly patients with osteoporotic bone. Retrograde intramedullary nailing is a good operative technique for extra-articular distal third femoral fractures. However, both techniques require sufficient surgical experience and appropriate preoperative planning.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 94%

Distal femur fracture, a comparative study of locking compression plate versus distal femur nail

Kurahatti¹,

Prabhu²,

Naik³

et al. 2019

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

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“…Several other studies have also reported the outcome of LCP in the treatment of distal femoral intra-articular fractures [11][12][13][14][15][16]. It should be noted that the conflicting results of the different investigations are attributed to the different characteristics of the patients, such as age, fracture type, concurrent fractures, etc.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Outcome of Different Surgical Techniques in the Treatment of Distal Femur Intra-articular Fractures: A Retrospective Study

Bagherifard

Majdi

Motaghi

et al. 2021

J. Res. Orthop. Sci.

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Background: A preferred surgical approach to distal femur intra-articular fractures is still controversial. Objectives: In the current study, we assessed the outcome and complications of three different surgical techniques, including screw fixation, Retrograde Intramedullary Nailing (RIN), and Locking Compression Plate (LCP). Methods: A total of 63 patients with distal femur intra-articular fractures were included in this retrospective study. AO/OTA fracture and dislocation classification was used to categorize patients. Type B fractures were treated with screw fixation and type C fractures were treated using LCP and RIN. Outcome measures, including the knee range of motion (ROM) and pain level, were Results: The mean±SD age of patients was 36.7±15.7 years. The fracture types B and C were detected in 22 (32.4%) and 46 (67.6%) patients. The mean follow-up period was 27.2±15.9 months. Mild knee pain was the only complication of screw fixation that was observed in 21% of patients. LCP was associated with some complications, including pain (19.4%), infection (9.7%), limited ROM (47.4%), malunion (47.4%), and nonunion (6.5%). RIN was also associated with several complications, including pain (44.4%), infection (11.1%), limited ROM (33.3%), and malunion (41.2%). A comparison of the outcome in matched fracture types of LCP and RIN groups revealed no superiority of each technique. Conclusion: Screw fixation alone results in a satisfactory outcome in the treatment of type B distal femur intra-articular fractures. LCP and RIN are associated with a variety of complications with no superiority over each other.

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“…The AO principle in the operative treatment of intra-articular fractures involves anatomical reduction of the articular surface of the fracture, rigid fixation and early mobilization. The advent of Distal Femoral Locking Plate (DFLP) has promised excellent results in the management of these challenging fractures [11]. Direct exposure of the articular surface ensuresanatomic reduction, reduces time of surgery and subsequent lesser number of complications.…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Surgical Management of AO Type-C Fractures of Distal Femur Treated with Distal Femoral Locking Platesusing Swashbuckler Approach

Sahni¹,

Sandhu²,

Kumar³

et al. 2021

JOSR

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Background: Orthopaedic injuries near a joint are often disabling with residual deficits. Distal femur fractures are one of such challenging injuries for orthopedic surgeons, due to their high complication rate. Use of swashbuckler approach while fixing such fractures with Distal Femoral Locking Plate (DFLP) bestows better outcome with lesser complications.Materials and Methods: 30 patients with AO Type C fractures of distal femur were treated with DFLP using Swashbuckler Approach. Cases were followed for up to 12 months post operativelyand evaluated by the NEER'S knee Score.Results: Mean time of fracture union was17.35 weeks (range 12-20 weeks). Average duration of surgery was 88.4 minutes and mean Neer's score was 80.76.

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Management of intra-articular fracture of distal femur with LCP and Lag screws in adults

Cited by 8 publications

References 11 publications

Distal femur fracture, a comparative study of locking compression plate versus distal femur nail

Distal femur fracture, a comparative study of locking compression plate versus distal femur nail

Evaluation of the Outcome of Different Surgical Techniques in the Treatment of Distal Femur Intra-articular Fractures: A Retrospective Study

Functional Outcome of Surgical Management of AO Type-C Fractures of Distal Femur Treated with Distal Femoral Locking Platesusing Swashbuckler Approach

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