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National Journal of Clinical Orthopaedics
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National Journal of Clinical Orthopaedics

2019, Vol. 3 Issue 4, Part B
Outcome following swashbuckler modified anterior approach versus lateral approach for management of complex distal femur fractures: A prospective comparative study
Author(s): Dr. Siddharth Agrawal, Dr. Naman Kanodia, Dr. Pratik Patel, Dr. Deepak Kumar Singhal, Dr. Abhay Choudhary and Dr. Mayank Pratap Singh
Abstract: Background: Distal femur fractures with intra articular extension and comminution are exacting injuries, rife with complications such as malunion and stiffness. We prospectively evaluated and compared a consecutive series of patients with AO type C distal femur fractures to determine the clinicoradiological outcome after fixation with a single locked plate using swashbuckler approach(modified anterolateral) and standard lateral approach.
Materials and Methods:120 patients with C type distal femur fractures (mostly type C2 and C3) were treated with distal femur locking compression plate (DF-LCP), 60 using swashbuckler approach and 60 using standard lateral approach, were included in the study. The clinical outcome at 1 year was determined using the Neer’s Score.
Results: All fractures united at a mean of 14.64 weeks (range 12-20 weeks). In our study mean duration of surgery for lateral approach group was greater (99.6min) than swashbuckler group (85min).There were no significant complications such as nonunion, deep infection, and implant failure. Mean ROM in swashbuckler group was 100.83 degree compared to 83.83 in lateral group. Mean Neer’s score was 76.96 in lateral approach group compared to 81.83 Neer’s score in swashbuckler approach. Excellent results were seen in 19 cases (63.3%) in swashbuckler group as compared to 13 cases (43.3%) in lateral approach group.
Conclusion: The results of complex C type distal femur fractures, fixed with a single distal femur locking compression plate (DF-LCP) using a swashbuckler approach as compared to standard lateral approach are affirmative and comparable with a majority of patients achieving good to excellent outcome at 1 year especially in complex C3 fractures.
Pages: 88-93  |  1334 Views  14 Downloads
How to cite this article:
Dr. Siddharth Agrawal, Dr. Naman Kanodia, Dr. Pratik Patel, Dr. Deepak Kumar Singhal, Dr. Abhay Choudhary, Dr. Mayank Pratap Singh. Outcome following swashbuckler modified anterior approach versus lateral approach for management of complex distal femur fractures: A prospective comparative study. Nat J Clin Orthop 2019;3(4):88-93 DOI: https://doi.org/10.33545/orthor.2019.v3.i4b.183
National Journal of Clinical Orthopaedics
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