IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:98
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013,      India [Click for Full details]  

Authors:  Harsha, Dheenadhayalan J, Rjasekaran S

Authors Affiliations:

Address of correspondence: ratnamohanmamidi@yahoo.co.in 


Abstract                                                                                                                 

Purpose: 74% of Indian population bears hospital expenses on their own and 60% of them cannot afford expensive foreign implants. Hence analysis of Indian and foreign implants is under taken.

Methods: 55 male and 27 female consecutive patients aged 15-85 yrs (Mean 45.9 yrs). Underwent plate osteosynthesis for distal femoral fractures with locking compression plate. Indian implants were used in 42 patients and foreign implants were used in 39 patients. M:F ratio is 2:1. The cause of injury was vehicular accidents (n=68) and fall (n=14). According to AO classification fractures were classified as Type A=14 B=4 and type C= 64.Closed fractures were 49 and open fractures were 33. Neer scale was used to compare radiologic, anatomic and functional outcomes of the two groups.

Results: Average follow up is 10.3 months. In Indian implant group mean time to union is 5.4 months with union rate of 90.7%. Functional outcome is on average 81.4 as per Neers criteria and 85.99% as per LEFS score. 2 (4.65%) cases of infection are seen. Delayed union is seen in 7 (16.3%) and Implant failure rate is 9.3%.In foreign implant group mean time to union is 4.07 months and union rate is 92.3 %. Functional criteris a per Neers criteria is satisfactory with average score of 81.4. Mean LEFS score is 84.08%. 1 (2.56%) case of infection is seen. Delayed union is seen in 3 (7.6%) cases. Malalignment is seen in 2 (5.13%) of cases and implant failure is seen in 2 (5.13%) cases.

Conclusion: There is no statistical difference between union rate, functional outcome and complication rate of Indian and foreign implants. However sample size is small to make a valid conclusion. Based on the results of our study we conclude that Indian implants are safe and viable option to make the treatment cost effective.

How to Cite this Abstract
Harsha, Dheenadhayalan J, Rjasekaran S. Comparative study of functional outcome of supracondylar fractures of dital femur treated by indian and foreign distal femoral locking plates. International Journal of Conference Proceedings 2015;(2015):98