Outcome analysis of unicondylar fracture of distal femur fixation with calcaneal plat
|IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:80
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013, India [Click for Full details]
Authors: Meena A, Verma R K, Joshi N, Yadav S K, Gaur K L
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Background:Open reduction and internal fixation (ORIF) is strongly recommended in literatures for unicondylar fracture of femur but specifically designed implant for isolated medial or lateral condyle fracture is lacking. Objective: To find out functional outcome of ORIF of distal femur unicondylar fracture with calcaneal plate by Neer scoring system.
Method: Study was conducted on 17 skeletally matured patients of unicondylar fracture femur (AO type 33B1, 33B2, 33B3) without neurovascular deficit operated during June 2011 to May 2013 at the department of Orthopaedics, S.M.S. hospital, Jaipur. Standard medial or lateral surgical approach was chosen. D-shaped Calcaneal plate was applied with help of 3.5 mm cancellous and cortical screws after restoring articular congruency. On 3rd post operative day knee mobilization and quadriceps strengthening exercise was started. Partial weight bearing was started at 8 weeks and progressed to full weight bearing as tolerated. Functional outcome was evaluated at 12 months by Neer scoring system.
Result: Excellent results were observed in 52.94% cases (Neer score > 85 units). Satisfactory outcome was observed in 29.41% (Neer score > 70 units). Only one case show unsatisfactory outcome with Neer score of 58 units and 2 cases were considered as failure with Neer score less than 55 units. No displacement of fracture fragments was observed.
Conclusion: Calcaneal plate is a good option for unicondylar fracture of femur. Outcome in term of ROM increases with duration and doesn’t depend on type of fracture.
|How to Cite this Abstract|
|Meena A, Verma R K, Joshi N, Yadav S K, Gaur K L . Outcome analysis of unicondylar fracture of distal femur fixation with calcaneal plat . International Journal of Conference Proceedings 2015;(2015):80|