Background: It is only seven percent of all femoral fractures which constitutes distal femur a very low incidence of injury in population. The complexity of understanding the fractures and aim of anatomical reduction and internal fixation with early vigorous rehabilitation offer comparative results. Methodology: Twenty three consecutive patients with 20-80 years were included with AO/ OTA type A,B,C fracture patterns which were treated by locking plates and followed up upto one year and analysed with American Knee Score. Result: Mean age of 43years with 11 patients had RTA while 10 patients had fall at home. Hospital stay average was 7 days. Average flexion 40