Title: Analysis of Factors Affecting the Functional Outcome of Intra Articular Distal Femoral Fractures
Authors: Dr D Prasad Reddy, Dr Rajkumar Angothu
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.02
Abstract
Distal femoral fractures are difficult to manage because they are involved with extensive soft tissue injuries, comminution, and involvement of articular surface. There are several implants used to treat includes condylar buttress plate fixation, locking compression plate, dynamic condylar screw, and cancellous screws.
Methods: Kakatiya Medical College and MGM Hospital, Warangal. A total of n=25 patients were studied during the period of which in n=23patients mode of injury was due to road traffic accidents [RTA] and the remaining 2 cases are due to slip and fall. They there are n=23 compound fractures (80%) and among them, n=1 case belongs to type I, n=2 cases classified under type II and remaining are type III (80%). During follow up, those patients who visited the outpatient department once in every four weeks assessed fracture union clinically and radiologically and the range of motion of knee and power of quadriceps was also assessed. At the end of 12 weeks, partial weight-bearing was allowed with the help of axillary crutches or walker and full weight-bearing was allowed at the end of 4months after confirming the clinical and radiological union of the fracture.
Results: The majority of the study subjects n=20(80%) had Range of knee flexion up to 80 degrees of knee flexion range of movement. More than 80 degrees of motion was found in n=5(20%) of the subjects shown in table 6. Most n=11(44%) of the study population were found to have excellent NEER'S score followed by good n=9 (36%) and fair with n=3 (12%), failure n=2 (8%) NEERs score was found to be least in our study.
Conclusion: An analysis of results of the present study based on the type of fractures shows good results were seen with Muller's type B fractures than type C. The younger individuals aged less than 18-38 years had better functional outcome when compared to the elderly patients. Among the different implants used for fixation of fractures in the present study, CBP was found to be the best choice as compared to other implants.
Keywords: Intra Articular Fractures, Distal Femoral Fractures, Functional Outcome.
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