Journal of AdvancedMedical and Dental Sciences Research

Background: Supracondylar fractures of the femur represent a notable surgical complexity. The advent of the locking compression plate (LCP) has introduced a remarkable revolution in the management of distal femoral supracondylar fractures. Methods: This study, conducted by the Department of Orthopedics over the course of one year, focused on 120 adult patients with closed supracondylar fractures of the distal femur (Muller Type-A). These patients were treated with a locking compression plate. Various patient-specific factors, such as age, gender, fracture type, injury cause, affected limb, concurrent injuries, surgical timing and duration, hospitalization length (in days), follow-up schedule, complications, and ultimate outcomes, were meticulously documented and subjected to detailed analysis. The patients underwent clinical and radiological assessments at four-week intervals during the first four months, followed by evaluations every two months over the subsequent six months, and then at six-month intervals. Results: In this study, the average age of the participants was 24.50 years. Out of the 120 patients, 76 were male, and 44 were female. Regarding the affected femur, the right side was involved in 60 patients, the left side in 56 patients, and both femurs were affected in only 4 patients. Clinical healing was observed in all cases, occurring within a timeframe of 15 to 30 weeks. Radiologically, the formation of bridging callus became evident at the 12th week after the operation, and complete radiological recovery was achieved, on average, at 25.73 weeks, with a range of 20 to 40 weeks. In terms of the final outcomes, 84 patients (85%) achieved excellent results, 20 patients (10%) had good outcomes, and 12 patients (5%) experienced treatment failure. Conclusion: Locking compression plate fixation has emerged as a secure and reliable approach for managing supracondylar fractures of the distal femur. It consistently produces excellent functional outcomes and promotes early clinical and radiological healing. This method can be readily integrated into standard practice with minimal risk of complications.