| Title: |
A Prospective Study on Functional Outcome of Double Plating for Distal Femur Fractures |
| Authors: |
Sumit Prajapati; Keyur Shah; Vijay Chaudhary; Mrudul Prajapati; Jayprakash Modi |
| Publisher Information: |
International Journal of Pharmaceutical and Clinical Research |
| Publication Year: |
2023 |
| Collection: |
Zenodo |
| Subject Terms: |
double plating method; femur fractures; outcome; union; varus collapse |
| Description: |
Background: Nonunion, varus collapse, and implant failure are frequent complications in the treatment of distal femur fractures. The lateral plate might not be able to hold the multiple fragments, which would result in a poor, unstable fixation and a higher risk of varus collapse. Dual plating provides a more stable and anatomically aligned fixation and lowers the likelihood of knee stiffness. Materials & Methods: This prospective study was conducted among 30 patients of distal femur fractures who were operated with double plating. The patients were followed up at every 6 weeks until the bony union was achieved and the subsequent follow‑up were done every 3 months till 6 months. Patients were assessed for range of motion, fixed deformity, and extension lag at every follow-up. At the 6-month follow-up, the patient’s functional status was evaluated using the American Knee Society Scoring System (KSS). Results: Total 20 (66.7%) patients had motion range of 90° and above. Knee score more than 70 was observed in 21 (70.0%) patients. Mean duration of union was 18.8 ± 4.34 weeks. Complication was noted in 7 patients (23.4%). Excellent and good outcome was reported in 8 (26.7%) and 13 (43.3%) patients. Remaining 6 (20.0%) and 3 patients (10.0%) had fair and poor outcome respectively. Conclusion: The double plating method for unstable distal femur fractures offers several advantages such as increasing the stability of fixation, improving the healing rate and allows early weight bearing, enabling early mobilization of patients and reducing the risk of varus collapse. ; Background: Nonunion, varus collapse, and implant failure are frequent complications in the treatment of distal femur fractures. The lateral plate might not be able to hold the multiple fragments, which would result in a poor, unstable fixation and a higher risk of varus collapse. Dual plating provides a more stable and anatomically aligned fixation and lowers the likelihood of knee stiffness. Materials & Methods: This prospective study was ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| ISSN: |
0975-1556 |
| Relation: |
https://zenodo.org/records/11528604; oai:zenodo.org:11528604; https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article272.pdf; https://doi.org/10.5281/zenodo.11528604 |
| DOI: |
10.5281/zenodo.11528604 |
| Availability: |
https://doi.org/10.5281/zenodo.11528604; https://zenodo.org/records/11528604; https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article272.pdf |
| Rights: |
Creative Commons Attribution 4.0 International ; cc-by-4.0 ; https://creativecommons.org/licenses/by/4.0/legalcode |
| Accession Number: |
edsbas.1FF2D677 |
| Database: |
BASE |