Comparison of the Outcomes of Intra-articular Distal Femur Fracture Managed With Distal Femoral Nail and Locking Compression Plate: A Prospective Study

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Vol 02 | Januar 2021 | page: 12-15 | Manoranjan Mallick, Gopal Chandra Sethi, Abinash Ray, Debi Prasad Nanda

DOI- https://doi.org/10.13107/ojot.2020.v42i01.018

Authors: Manoranjan Mallick [1], Gopal Chandra Sethi [1], Abinash Ray [1], Debi Prasad Nanda [1]

[1] Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India.

Address of Correspondence

Dr. Debi Prasad Nanda,
SCB Medical College, Cuttack, Odisha, India.
E-mail: drdebiortho@gmail.com

Abstract

Background: The treatment of intraarticular distal femur fracture still remains a debatable issue. The need for anatomical reduction and maintenance of the joint congruity while giving the patient a painless mobile knee is quite challenging. There is little Indian literature evidence comparing the functional outcome after treatment with distal femoral nail and locking compression plate in these group pf fractures. We decide to clear this gap in knowledge by this current study.
Material and methods: This was a prospective study Of 20 patients with closed intra-articular distal femoral fracture treated either with distal femoral nail and locking compression plate. It was carried out in the Department of Orthopaedics, SCB Medical College, and Cuttack during the period of August 2017 to November 2019 and functional results are analysed with 100 point scores by Neer et al i.e. Neer’s criteria.
Result: Average healing time was better in the case of nailing (15.2 weeks) than plating (18 weeks) which was assessed both clinically and radiologically. The average knee flexion range of motion was better in the case of nailing (112°)than plating (93°). With Neer’s score, an Excellent result was obtained in 90% cases in nailing comparing to only 30% with plating where a fair and poor result was obtained in 10% cases in nailing comparing to 70% with plating.
Conclusion: In the present study, retrograde nailing was found to be a better fixation system for both extra as well as intra-articular fractures(type C1 & type C2) of distal femur with better outcome in terms of range of movements, early mobilization, union and less operative time and blood loss.
Keywords: Intra-Articular Fractures; Bone Plates; Range of Motion; Articular.

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How to Cite this Article: Mallick M, Sethi GC, Ray A, Nanda D| Comparison of the Outcomes of Intra-articular Distal Femur Fracture Managed With Distal Femoral Nail and Locking Compression Plate: A Prospective Study | Odisha Journal of Orthopaedics and Trauma | January 2021; 02: 12-15. https://doi.org/10.13107/ojot.2020.v42i01.018

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