Assessment Of Functional Outcome Of Management Of Distal End Femur Fractures

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Dr. Anupam Kolekar , Dr. Nishant K Gaonkar , Dr. Ravindra B Gunaki


Background: Distal femur fractures comprise of 6% of the fractures involving femur approximately. The present study was conducted to assess functional outcome of management of distal end femur fractures.

Materials & Methods: 78 patients of distal end femoral fractures of both genders were recorded. Parameter such as mode of injury, side, fracture subtype was recorded. Functional outcomes were analyzed using Modified Hospital for Special Surgery scoring system

Results: Out of 78 patients, males were 40 and females were 38. Mode of injury was RTA in 40, fall in 18 and others in 20. Laterality was left in 37 and right in 41. Cases were treated with open with locking compression plate in 50 and closed reduction in 28 cases. Range of knee flexion  was 102 degrees and average knee score was 89.2. The difference was significant (P< 0.05). Functional outcome was excellent in 55, good in 20 and fair in 3. The difference was significant (P< 0.05). Complications were limb length discrepancy in 3, malunion in 2, shortening in 1 and knee stiffness in 1. The difference was significant (P< 0.05).

Conclusion: Distal end femoral fractures were managed with open reduction with locking compression plate and close reduction. Function outcome was excellent in most of the cases.

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