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The Role Of Distal Femoral Locking Compression Plate In The Management Of Fractures Of The Distal End Of Femur
Nazibullah M 1* , Islam MA 2 , Alam MR 3
1 Dr. Md. Nazibullah , Assistant Professor & Head, Department of Orthopaedics, TMSS Medical College and RCH, Thengamra,Bogura, Bangladesh
2 Dr. Md. Amirul Islam , Assistant Professor& Head, Department of Oral & Maxillofacial Surgery, TMSS Medical College and RCH, Thengamra,Bogura, Bangladesh
3 Dr. Md. Rezaul Alam , Associate professor & Head, Department of Orthopaedics, Shaheed Ziaur Rahman Medical College & Hospital, Bogura

* Corresponding Author: Dr. Md. Nazibullah , Assistant Professor & Head, Department of Orthopaedics, TMSS Medical College and RCH, Thengamra,Bogura, Bangladesh
Abstract
Background: Fractures of distal end of femur present a huge surgical challenge. The aim of this study is to evaluate functional, outcome, fracture healing, and the complications of distal femoral fractures using distal femoral locking compression plates. Materials and Methods: We reviewed 30 cases of supracondylar and intercondylar fractures of femur were treated with Distal femoral locking compression plates between 2013 to 2015. There were 18 men and 12 women with mean age of 28 years More than half of the patients were road traffic accident some are fall from height and injury due to slip. Results: The mean follow-up period was 18 months (range 12-20). The mean time for radiological union was 1.6 weeks (range 10-16). At the latest follow up ROM>130" is noted in 15 patients. >110'in 10 patients, and 90-110 in 3 patients. 20 patients (66.66%) had excellent and 6 patients had good outcome. Conclusion: It was concluded that distal femoral locking compression plate is an effective and technically undemanding method for treatment of supracondylar and intercondylar fractures of femur.
Keywords
Distal femoral locking compression plate, Distal End of Femur fracture.
Introduction
Fractures of femur whether supracondylar or intercondylar ina T or Y shaped configuration have a huge surgical challenge. These fractures are difficult to treat and operative treatment is usually recommended for favorable outcome’, These are associated with high energy trauma (in the youngsters) and osteoporotic bones (in the elderly) and are frequently comminuted and intra-articular. Current generation of distal femoral locking compression plates is pre contoured based on the average bony anatomy of the adult population and they form a fixed angled construct. The pull-out strength of locking screws is higher than the conventional screws and is particularly useful in osteoporotic bones. These plates are designed to apply in minimally invasive fashion to preserve local biology and avoid problems with fracture healing and infection®”. The purpose of this study was to evaluate functional outcome, fracture healing, and the complications of distal femoral fractures using locking compression plates.