Abstract Issue

Volume 6 Issue 2 ( February ) 2017

Original Articles

A Comprehensive Analysis of Supracondylar Femur Fracture Management through Locking Compression Plate Surgery
Dr. Sanjay Gupta

Background: Supracondylar femur fractures pose a significant surgical challenge. The introduction of the locking compression plate (LCP) has ushered in a remarkable transformation in the treatment approach for distal femoral supracondylar fractures. Aim: The objective of this research was to assess the union rate, functional outcomes, and complications associated with fractures treated using open reduction and internal fixation via a locking compression plate. Material and method: This study involved the inclusion of 60 adult patients who had closed supracondylar fractures of the distal femur (Muller Type-A) and were treated with a locking compression plate. Various patient-related variables, including age, gender, fracture type, injury mechanism, affected limb, associated injuries, timing and duration of the operation, length of hospital stay (in days), follow-up schedule, complications, and ultimate outcomes, were meticulously recorded and subjected to analysis. These patients underwent clinical and radiological evaluations at four-week intervals for the initial four months, followed by assessments every two months for the subsequent six months, and subsequently, at six-month intervals. Results: The average age of the patients in this study was 26.50 years. Among the 60 patients, 38 were male, and 22 were female. Among the fractures, the right femur was affected in 30 patients, the left in 28 patients, and both femurs were involved in only 2 patients. Clinical union was observed in all cases within a range of 15 to 30 weeks. Radiologically, the formation of bridging callus was evident at the 12th post-operative week, with complete radiological union achieved at an average time of 25.73 weeks (ranging from 20 to 40 weeks). In terms of final outcomes, 42patients (85%) achieved an excellent result, 10 patients (10%) had a good outcome, and 6 patients (5%) experienced failure in their treatment. Conclusion: Locking compression plate fixation emerges as a secure and dependable procedure for treating supracondylar fractures of the distal femur. It consistently yields excellent functional outcomes, facilitating early clinical and radiological union. This method can be readily employed as a routine practice, bearing minimal risk of complications.

 
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