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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Randomised trial comparing outcome of distal femoral nail and distal femoral locking compression plate for distal shaft of femur fractures
Dr. Pranit Mehta, Dr. Saubhik Das, Dr. Govind Kumar Gupta, Dr. Lal Bahadur Manjhi, Dr. Vinay Prabhat

Background: The Less invasive stabilisation system (LISS), which was introduced in the middle to late 1990s, was further developed into the Distal Femoral Locking Compression Plate (DF-LCP). The LISS uses an outrigger device for shaft holes, basically acting as a locking guide jig, which is attached to the distal part of the plate and directs the placement of the proximal locking screws. This is the primary distinction between the DF-LCP and the LISS. The oval shaft holes on the DF-LCP allow for the use of either a locking screw or a compression screw. As a result, the plate can be squeezed closer to the bone, allowing for a more exact implantation. Aim: To compare the clinic-radiological outcome of the distal femoral fractures treated by Distal Femoral Locking Compression Plate and Distal Femoral Nail. Methods: This study was carried out in Rajendra Institute of Medical Sciences, Ranchi. The study was a randomized trial in which patients were randomized in both the groups using Random lottery method by an independent observer. According to the prevalence of patients with distal shaft femur fractures admitted in RIMS in the years 2018-20, 40 patients, 20 in nailing group and 20 in plating group were selected for our study. Results: In the study, mean AKS score was 65.6 + 13.4 in DFN group and in DFLCP group, it was 70.1 + 14.6. There is no statistically significant differences present in mean AKS scores in both the groups. Conclusions: Hence, on overall, through our study, it can be concluded that DFLCP scored better than DFN in terms of hospital stay, post-op complications, operative time, range of movements, union time, blood loss and AKS score.

 
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