Comparison Of Functional Outcome Of Distal Femur Fractures Treated With Distal Femur Locking Plate Versus Dynamic Condylar Screw

Abstract

Background: Distal femoral fractures are associated with high energy trauma and osteoporotic bones in the elderly. The present study was conducted to compare functional outcome of distal femur fractures treated with distal femur locking plate versus dynamic condylar screw.

Materials & Methods:

Results: Group I had 20 males and 24 females and group II had 25 males and 19 females. Average time to union (months) was 3.5 and 3.9, average range of flexion was 114.6 degrees and 110.3 degrees, knee score was 95.2 and 90.4 and functional score was 91.7 and 86.3 in group I and II respectively. The difference was significant (P< 0.05). In group I and group II, Muller type A1 was seen in 20 and 14, A3 in 12 and 18, C1 in 7 and 8 and C2 in 5 and 4 respectively. Complications were wound infection in 2 and 4 and non- union in 3 and 6. HSS was excellent in 34 and 28, good in 8 and 10, fair in 2 and 6 respectively. 

Conclusion: Distal femur locking plate was best choice for management of distal femur fractures.