Indian Journal of Orthopaedics Surgery


A study of management of distal femoral fractures with intramedullary supracondylar nail


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Author Details: Shriniwas Yemul,Milind M Joshi*

Volume : 4

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 362

Article End Page : 367


Abstract

Introduction: With modern day epidemic of automobile accidents escalating fractures of distal end of femur will continue to be oft encountered by present day orthopedic surgeon. Considering the complex articular Anatomy of knee and close proximity to major structures, management of these fractures still poses challenge to operating surgeon. The present study undertaken taken to study fractures of distal end of femur in respect to mechanism, configuration, and management.
Materials and Methods: Thirty five patients of fractures of distal femur were selected for this study during the duration of two years. Duration of follow up ranged from 3 months to 17 months. All the patients were hospitalized and managed according to standard protocol, which included, preoperative evaluation, a period of non – weight bearing, mobilization of knee, discharge from hospital after suture removal and regular follow – up on outpatient basis.
Results: Male patients (74.29%) were more than female (25.71%) in the present study. Right side was predominant. One patient was having bilateral distal femoral fracture. Grade I fracture (11.11%) is most common type found in the present study. According to Muller’s classification, most common type found to be A-1 (40%) followed by C-2 (28.6%). In the present, majority of cases outcome shows Good (51.4%) followed by Excellent (22.9%), Fair (14.3%) and Poor (11.4%).
Conclusion: It is stable fixation and allows. Postoperatively patient motivation and aggressive physiotherapy with continuous passive motion if necessary is necessary to prevent knee stiffness.

Keywords: Distal femoral fractures, Muller’s classification, Intramedullary Supracondylar nail, Knee stiffness.

Doi No:-10.18231/2395-1362.2018.0070