Journal of AdvancedMedical and Dental Sciences Research

Background: Distal femoral fractures account for 1% of all fractures and 4–6% of femoral fractures. The present study was conducted to assess functional and radiological outcome of distal femoral fracture fixationtreated with locking plate. Materials & Methods: 56 patients of distal femoral fractures of both genders underwent chest X-ray postero-anterior view, electrocardiography, 2D Echo and other investigations. Lateral approach used for ORIF of distal femur fracture was used. Parameters such as classification of fracture, mode of injury, range of motion, radiological outcome and complications were recorded. Neer’sfunctional scoring was used to assess the outcome of surgery. Results: Out of 56 patients, males were 36 and females were 20. Fracture type was A1 in 4, A2 in 17, A3 in 6, B1 in 7, B2 in 14 and C2 in 8 cases. Mode of injury was RTA in 34, fall in 12 and physical violence in 10 cases. Range of motion was <45 in 9, 45-90 in 11 and >90 in 6 cases. Radiological outcome was union in 50, delayed union in 4 and non- union in 2 cases. Complications were infection in 5 and non- union in 2 cases. The difference was significant (P< 0.05). NEER’s score was excellent in 43, satisfactory in 10, and unsatisfactory in 3 cases. The difference was significant (P< 0.05). Conclusion: Femoral fracture fixation treated with locking plate had excellent functional and radiological outcome.