Comparative study of functional outcome of supracondylar fractures of dital femur treated by indian and foreign distal femoral locking plates
|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
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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|