Résumé
Background: Supra condylar femoral fracture has to multiple treatment options and may have different complications including wound infection, delayed or nonunion and loss of knee motion. Distal femoral locking plate is a recent advance method of treatment as minimal invasive technique
Objective: To determine the outcome of locking plate in supracondylar fracture of distal femur by minimal invasive plate osteosynthesis, regarding union and range of motion at knee and hip joint
Methodology: This descriptive study was carried out in Orthopedics Department of Lahore General Hospital, Lahore on 35 patients from 1[st] January 2013 to December 2014. All the patients suffering from closed supra-condylar fractures of distal femur Muller Type-A presenting within 24 to 48 hours of injury between 20-50 years of age were included in the study. MIPO technique was used for surgical treatment in these cases. Union was assessed at follow up. Data was entered and analyzed by using SPSS version 20
Results: There were total 35 patients in this study; the mean age of the patients was 32.37 +/- 7.86 years. There were 26[74%] male and 9[26%] female. The mean hip flexion for operated limb was 124.91[degree] +/- 7.03 and the mean knee flexion for operated limb was 125.43[degree] +/- 10.56. At 36[th] week follow up all 35[100%] patients presented with grade-I radiological union i.e. formation of homogenous bone structure
Conclusion: Distal femoral locking plates resulted in favorable outcomes on short-term basis for treating supra-condoyle fractures of distal femur Muller A in terms of union and range of motion at knee and hip joint