A PROSPECTIVE ANALYSIS OF FUNCTIONAL OUTCOME OF DISPLACED DISTAL FEMUR FRACTURES FIXED WITH DISTAL FEMUR LOCKING COMPRESSION PLATE NAME OF THE GUIDE : DR. B.Kiran Kumar ASSOCIATE PROFESSOR DEPARTMENT OF ORTHOPAEDICS MGM HOSPITAL, WARANGAL NAME OF THE PRESENTER: D r . PALLAVI PUVVADA FIRST YEAR POST GRADUATE DEPARTMENT OF ORTHOPAEDICS
INTRODUCTION Fracture of the distal femur involves the distal femoral metaphysis and the femoral condyles. They represent about 6% of all femoral fractures. If hip fractures are excluded, 31% of femoral fractures involve distal portion. With the increased incidence of high energy trauma, especially those caused by Road traffic accidents, the occurrence of these difficult to treat fractures have also increased. Hence there is a growing need for effective management of these injuries. Adding to the challenge is the occurrence of these fractures in older age group with osteoporotic bones, due to the present trend of increased life expectancy seen in developed and even developing countries.
REVIEW OF LITERATURE In an effort to balance rigid fixation and preservation of blood supply to the bone, the Limited Contact Dynamic Compression Plate (LC-DCP) was developed and released in 1990. The plate had many design features that improved the biomechanics and use of the plate such as, thinner design while maintaining equal stiffness at the screw hole interface and between them, better hole design and of course the ability not to contact the periosteum in between the holes. At the same time when this plate was released, surgeons were looking for methods to place plates that did not require large muscle dissection and therefore destruction of the blood supply to bone (MIPO –minimally invasive plate osteosynthesis). Systems such as the Less Invasive Stabilization System (LISS), Point Contact Fixator (PC-Fix) and Schuhlis systems used principles of external fixation, internally and locking technology theory. What resulted in 2000 was the Locking Compression Plate (LCP) (Fig.11) with a Combi hole so that the techniques of conventional and locked screw technology could be used in one plate.
AIMS AND OBJECTIVES The aim of the study is to analyze in terms of union and functional outcome for distal 3 rd femoral fractures treated with distal femoral locking compression plating.
METHODOLOGY Study Topic : Study of functional outcome of 30 cases displaced Distal Femur of fractures fixed with distal femur Locking Compression Plate Study Design : Prospective study Period of Study : April 2023- March 2025 Sample size : 30
IN C LU SION AND EXCLUSION CRITERIA Inclusion criteria: 1) Presence of distal 3 rd femoral fractures. 2) Age more than 16 years. 3) Open and closed fractures Exclusion criteria: 1)Skeletal immaturity with open physis. 2) Undisplaced fracture patterns needing only Conservative management. 3) Patients not willing for surgery. 4) Pathological fractures. 5) Periprosthetic fractures.
MATERIALS AND METHODS TYPE OF STUDY : This is a prospective study which will be conducted in Kakatiya Medical College/ Mahatma Gandhi Memorial Hospital – Warangal. PERIOD OF STUDY: During a period of 202 3 – 202 5 . SOURCE OF THE DATA: MGM HOSPITAL , WARANGAL attached to KAKATIYA MEDICAL COLLEGE, WARANGAL in the period from 202 3 -202 5 .
PATIENT CONSENT FORM MODEL
REFERENCE 1.Supracondylar fractures of adult femur, A Study of 110 cases. Charles S.Neer, S.Ashby Grantham and Marvin L.shelton, Journal of Bone and Joint Surgery Am.june 1967; 49: 591-613. 2. Surgical treatment of displaced ,comminuted fractures of the distal end of the femur. RD Mize, RW Bucholz and DP Grogan, Journal of Bone and Joint Surgery Am.1982;64:871-879. 3. Supra condylar-intercondylar fractures of the femur. Treatment by internal fixation, JM Siliski, M Mahring and HP Hofer, Journal of Bone and Joint Surgery Am,1989;71:95-104. 4. The Results of Open Reduction and Internal Fixation of Distal Femur Fractures Using a Biologic (Indirect) Reduction Technique. Bolhofner, Brett R.*; Carmen, Barbara; Clifford, Philip + Journal of Orthopaedic Trauma. 10(6):372-377, August 1996. 5. New technique for treatment of unstable distal femur fractures by locked double-plating: case report and biomechanical evaluation. Jazrawi, L M /93 Kummer, F J / Simon, J A / Bai, B / Hunt, S A / Egol, K A / Koval, K J , The Journal of trauma, 48 (1), p.87-92, Jan 2000.