Vol 43 | January 2022 | page: 39-43 | Sidheswar Baskey
Authors: Sidheswar Baskey 
 Department of Orthopaedic Surgery, SCB Medical College and Hospital, Cuttack, Odisha, India.
Address of Correspondence
Dr. Sidheswar Baskey
Department of Orthopaedic Surgery, SCB Medical College and Hospital, Cuttack, Odisha, India.
Background: Fractures of distal femur are very complex injuries and there is significant difficulty to manage. These injuries are severe and have a potential to produce long term disability. These fractures often are unstable and comminuted and tend to occur in elderly or multiply-injured patients.
The fractures of distal femur account for 7% of all femoral fractures. If Hip fractures are excluded, 31% of fractures involve the distal femur. The fractures involving distal 15 cm of femur including distal femoral metaphysis (supracondylar) and articular surface (intercondylar) are classified as distal femur fractures .
Distal femur fractures exhibits bimodal age distribution. In young adults it occurs due to high velocity trauma like road traffic accidents. These patients often sustain multiple and compound injuries. Older patients sustain distal femur fractures mostly due to trivial fall occurring in elderly osteoporotic bone.
In 1960’s most of these fractures were treated conservatively and documented better outcome than operative treatment. But with the advent of newer implants and modern techniques, these fractures are best treated with surgical stabilization. The newer modalities of treatment include minimally invasive plate osteosynthesis (MIPO) and Less invasive skeletal stabilization (LISS).
Aim of this study: To evaluate twenty cases of distal femur fractures fixed with locking compression plate by minimally invasive plate osteosynthesis (MIPO) technique in the Department of Orthopaedic Surgery at SCB Medical College and Hospital, Odisha between July 2018 to November 2020. To prospectively analyse the clinical and radiological outcome of the above procedure.
Keywords: Minimally Invasive Plate Osteosynthesis (MIPO), Distal Femoral Fractures, Radiological Outcome, Locking Compression Plate
1. Charles A. Rockwood RWB. Rockwood and Green’s Fractures in Adults. 17th ed.: Lippincott Williams & Wilkins; 2010.
2. Snell RS. clinical anatomy by regions. 9th ed.: Lippincott Williams & Wilkins; 2011.
3. Henry Gray S. Gray’s Anatomy : The Anatomical Basis of Clinical Practice: Elsevier Science Health Science Division; 2005.
4. By A. M. R. Agur AFDJCBG. Grant’s atlas of Anatomy. 13th ed.: Lippincott Williams & Wilkins; 2012.
5. AS Reddy RF. Evaluation of the Intraosseous and Extraosseous Blood Supply to the Distal Femoral Condyles. American journal of sports medicine. may 1998.
6. Reto Babst SB. AO manua-l Minimally Invasive Plate Osteosynthesis (MIPO); 2012.
7. S. Pickering DA. Alignment in Total Knee Replacement. bone & joint journal. .
8. Donald R. Peterson JDB. Biomechanics: Principles and Applications, Second Edition.
9. S.Terry canale JHB. Campbell’s operative orthopaedics. 12th ed.: elsevier; 2013.
10. Stewart MJ ST,WS. Fractures of the distal third of femur. J Bone and joint surgery Am. 1966;(48: 784-807).
11. NEERII CS, GRANTHAM SA, SHELTON ML. Supracondylar Fracture of the Adult Femur a study of one hundred and ten cases. J Bone Joint Surg Am, 1967 Jun 01;49(4):591-613. 1967 june.
12. J Schatzker GHJW. The Toronto experience with the supracondylar fracture of the femur, 1966–1972. Injury. 1974, 6(2):113-128.
13. al BBe. The results of open reduction and Internal fixation of distal femur fractures using a biologic (indirect) reduction technique. J orthop Trauma. 1996;10(6):372-7..
14. Ritter MA,PMFaEMK. “Anterior femoral notching and ipsilateral supracondylar femur fracture in total knee arthroplasty. “The Journal of arthroplasty 3.2 (1988): 185-187. .
15. Yuvarajan RKaLM. “Review of concepts in distal femoral fractures management. “Pb Journal of orthopaedics 11.1 (2009). .
16. al BBe. The use of modified Neufeld traction in the management of femoral fractures in polytrauma. journal of trauma:1981 Sep;21(9):779-87. .
17. MOONEY Vea. “Cast-Brace Treatment for Fractures of the Distal Part of the Femur a prospective controlled study of one hundred and fifty patients. The Journal of Bone & Joint Surgery 52.8 (1970): 1563-1578. .
18. Butt MS,SJKaMSA. Displaced fractures of the distal femur in elderly patients. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME- 78 (1996): 110-118. .
19. Michaeal Wagner RF. AO manual of Internal fixator – concepts and cases using LISS and LCP: Thieme; 2012.
20. Henry SL,ea. “Management of supracondylar fractures of the femur with the GSH intramedullary nail: preliminary report.” Contemporary orthopaedics 22.6 (1991): 631. .
21. Ricci WMea. Angular Malalignment After Intramedullary Nailing of Femoral Shaft Fractures. Journal of Orthopaedic Trauma:2001; 15(2) 90-95. .
22. Thomson ABea. “Long-term functional outcomes after intra-articular distal femur fractures: ORIF versus retrograde intramedullary nailing.” Orthopedics 31.8 (2008): 748-750. .
23. Fixation ToDFaPTFWEFFbPCtI. Parekh, Anand A.; Smith, Wade R.; Silva. Journal of Trauma-Injury Infection & Critical Care. 64(3):736-739, March 2008. .
24. Arazi M,ea. “Ilizarov external fixation for severely comminuted supracondylar and intercondylar fractures of the distal femur.” Journal of Bone & Joint Surgery, British Volume 83.5 (2001): 663-667.
25. al Ee. Biomechanics of locked plates and screws. J orthop Trauma. ; 18(8):483-487.
26. al WMe. Treatment of distal femoral fractures in the elderly using less invasive plating technique. Int orthop. ; 29(2):117-120.
27. Mast J JRGR. Planning and Reduction Technique in Fracture Surgery. 1st ed.: springer; 1989.
28. Schandelmaier P,ea. “Distal femoral fractures and LISS stabilization.” Injury 32 (2001): 55-63. .
29. Schütz M,ea. “Less invasive stabilization system (LISS) in the treatment of distal femoral fractures.”. Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca 70.2 (2003): 74. .
30. Kregor PJ,ea. “Distal femoral fracture fixation utilizing the Less Invasive Stabilization System (LISS): the technique and early results.”. Injury 32 (2001): 32-47. .
31. Kim SJea. “Minimally invasive plate osteosynthesis for distal femoral fractures.” Journal of the Korean Society of Fractures 16.4 (2003): 474-481. .
32. Whelan DB,ea. “Interobserver and intraobserver variation in the assessment of the healing of tibial fractures after intramedullary fixation.”. Journal of Bone & Joint Surgery, British Volume 84.1 (2002): 15-18. .
33. KILIÇOGLU ÖI,ea. “Comparison of locked plating and intramedullary nailing for periprosthetic supracondylar femur fractures after knee arthroplasty.” Acta orthopaedica Belgica 79.4 (2013): 417-421. .
34. Fankhauser Fea. “Minimal-invasive treatment of distal femoral fractures with the LISS (Less Invasive Stabilization System) A prospective study of 30 fractures with a follow up of 20 months.” Acta Orthopaedica 75.1 (2004): 56-60. .
35. Yeap EJ,aASD. “Distal femoral Locking Compression Plate fixation in distal femoral fractures: early results.” Malaysian Orthop J 1.1 (2007): 12-17. .
36. Kanabar P,ea. “Less invasive stabilisation system plating for distal femoral fractures.” Journal of Orthopaedic Surgery 15.3 (2007).
|How to Cite this Article: Baskey S | Short Term Analysis of the Functional and Radiological Outcome of Distal Femoral Fractures Fixed with Locking Compression Plate by Minimally Invasive Plate Osteosynthesis (MIPO) Technique | Odisha Journal of Orthopaedics & Trauma | January 2022; 43: 39-43.