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Journal of Orthopedic Education

Volume  5, Issue 1, January-April 2019, Pages 35-42
 

Original Article

Functional Outcome of Locking Compression Plate in Supracondylar Fracture of Distal Femur

Sparsh Naik1, Vasant Gawande2, Bhushan Patil3, Aditya Pundkar4, Suhas Landge5, Sridhar Reddy6

1,4Assistant Professor, 2Associate Professor, 3,5Senior Resident, 6Junior Resident, Department of Orthopedics, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (Meghe), Wardha, Maharashtra 442004, India

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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.5119.6

Abstract

 Background: Utilization of LCP system in supracondylar fractures of distal femur couples the advantage of conventional plate osteosynthesis together with internal fixator systems. LCP involves use of compression plating and locked internal fixation method into one implant. The study was carried out to clinically explore the practical consequence of LCP in fracture associated with supracondylar region of distal femur on several aspects under investigation. Materials and methods: Ninety patients with age more than 18 years, with prolonged comminuted supracondylar fracture of femur were regarded eligible for the investigation. On the contrary, patient exemption criteria for the study included existence of pathological and periprosthetic fracture, patients with existing deformity of same limb or open fracture, or condition of polytrauma. Patients were operated, and the LCP was grafted according to standard surgical procedure. Post-operative follow-up data was collected for 6 months. Results: More than 50% patients exhibited outcome score as good, of which most them were above 30 years age. Less than 10% patients exhibited complications in both the cases of open and closed fracture. In patients with open fracture, reunion took place between 20-22 weeks, whereas in closed fractures, 70% patients indicated reunion between 16-18 weeks. Time of union was 16-18 weeks for maximum patients. Conclusion: Results reflected that the LCP condylar plate is the treatment of choice in the management of comminuted distal femoral fractures. LCP helped in maintaining limb length and had fewer complications, emphasizing the need to follow basic principles of fracture fixation.

Keywords: LCP; Supracondylar; Neer’s score; femoral fracture.


Corresponding Author : Vasant Gawande