Author(s): Ramu AC, Roshan SD, Anoop Hegde and Albert Naveen A

Abstract: Distal femoral fractures are difficult to treat and ideal treatment of such fractures will include anatomical reduction, rigid fixation of articular surfaces and early mobilization of knee joint. The purpose of the study is to evaluate the end results of surgical management of fracture of distal end of femur using the D.C.S, L.C.D.C.P, L.C.P, Nail and other surgical modalities and anlayse the complications and the causes of fractures. Materials and methods: A Retrospective Study of 30 patients were evaluated from tertiary hospital for a period of Dec 2014 to June 2017. There were 30 fractures in 30 patients involving the distal femur, which were treated either surgically by internal fixation or conservatively by POP application or skeletal traction, 26 cases were treated surgically and 4 were treated conservatively. Results: At the end of study, the cases were followed up for an average period of 7.4 months (range of 6-22 months) and functional results were evaluated using Neer’s et al 1. rating system. Overall 9 cases (30%) had excellent rating, 14 cases (45%) had satisfactory rating and 7 cases (25%) had unsatisfactory. Conclusion; Fractures of distal femur can be very effectively treated by surgical methods. The satisfactory osteosynthesis of fractures and stable osteosynthesis is achieved by the right approach and correct surgical technique.

DOI: https://doi.org/10.33545/orthor.2018.v2.i1a.33