Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study
Fractures of distal femur reportedly account for less than 1% of all fractures and about 4% of all femur fractures. Aims of the treatment of extra-articular fractures are restoration of length, torsion, and frontal and sagittal plane alignment and stable fixation. The objective of the study is to c...
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| Format: | Article |
| Language: | English |
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Bulgarian Orthopaedics and Trauma Association
2023-12-01
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| Series: | Journal of the Bulgarian Orthopaedics and Trauma Association |
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| Online Access: | https://jbota.org/index.php/jbota/article/view/106 |
| _version_ | 1797260602095173632 |
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| author | Varun Vasudevan TM Jose Manesh Philip |
| author_facet | Varun Vasudevan TM Jose Manesh Philip |
| author_sort | Varun Vasudevan |
| collection | DOAJ |
| description |
Fractures of distal femur reportedly account for less than 1% of all fractures and about 4% of all femur fractures. Aims of the treatment of extra-articular fractures are restoration of length, torsion, and frontal and sagittal plane alignment and stable fixation. The objective of the study is to compare the functional and radiological outcome of the patients who sustained the distal femoral fractures treated with plate fixation against retrograde intramedullary nail. Patients meeting the specified inclusion criteria were divided into two groups: one treated with retrograde intramedullary nailing and the other with plate fixation. Follow-up assessments were performed at 4, 12, and 24 weeks post-surgery, utilizing flexion scores and Modified Schatzker and Lambert criteria to evaluate functional and radiological outcomes. The functional outcomes and knee flexion scores at the 6-month mark showed no significant difference between the plating and nailing groups. However, the plating group demonstrated early recovery, with a significant improvement in range of motion observed at 4 weeks post-operation. Retrograde intramedullary nailing exhibited advantages in terms of shorter surgery duration and lower intraoperative blood loss, making it a preferred option for patients with anticipated major blood loss or polytraumatized individuals.
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| first_indexed | 2024-03-07T19:28:44Z |
| format | Article |
| id | doaj.art-305b6deba7a24f83ad2776c16ea35bc7 |
| institution | Directory Open Access Journal |
| issn | 0473-4378 2815-3715 |
| language | English |
| last_indexed | 2024-04-24T23:27:56Z |
| publishDate | 2023-12-01 |
| publisher | Bulgarian Orthopaedics and Trauma Association |
| record_format | Article |
| series | Journal of the Bulgarian Orthopaedics and Trauma Association |
| spelling | doaj.art-305b6deba7a24f83ad2776c16ea35bc72024-03-15T19:52:06ZengBulgarian Orthopaedics and Trauma AssociationJournal of the Bulgarian Orthopaedics and Trauma Association0473-43782815-37152023-12-01600310.58542/jbota.v60i03.106Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative studyVarun Vasudevan0TM Jose1Manesh Philip2Department of Orthopaedics, Jubilee Mission Medical College & Research Institute,Thrissur, Kerala, IndiaDepartment of Orthopaedics, Jubilee Mission Medical College & Research Institute,Thrissur, Kerala, IndiaDepartment of Orthopaedics, Jubilee Mission Medical College & Research Institute,Thrissur, Kerala, India Fractures of distal femur reportedly account for less than 1% of all fractures and about 4% of all femur fractures. Aims of the treatment of extra-articular fractures are restoration of length, torsion, and frontal and sagittal plane alignment and stable fixation. The objective of the study is to compare the functional and radiological outcome of the patients who sustained the distal femoral fractures treated with plate fixation against retrograde intramedullary nail. Patients meeting the specified inclusion criteria were divided into two groups: one treated with retrograde intramedullary nailing and the other with plate fixation. Follow-up assessments were performed at 4, 12, and 24 weeks post-surgery, utilizing flexion scores and Modified Schatzker and Lambert criteria to evaluate functional and radiological outcomes. The functional outcomes and knee flexion scores at the 6-month mark showed no significant difference between the plating and nailing groups. However, the plating group demonstrated early recovery, with a significant improvement in range of motion observed at 4 weeks post-operation. Retrograde intramedullary nailing exhibited advantages in terms of shorter surgery duration and lower intraoperative blood loss, making it a preferred option for patients with anticipated major blood loss or polytraumatized individuals. https://jbota.org/index.php/jbota/article/view/106NailingPlatingDistal femurFractureModified Schatzker and Lambert criteria |
| spellingShingle | Varun Vasudevan TM Jose Manesh Philip Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study Journal of the Bulgarian Orthopaedics and Trauma Association Nailing Plating Distal femur Fracture Modified Schatzker and Lambert criteria |
| title | Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study |
| title_full | Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study |
| title_fullStr | Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study |
| title_full_unstemmed | Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study |
| title_short | Functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing – A comparative study |
| title_sort | functional outcome of supracondylar fracture femur treated with plate fixation and retrograde intramedullary nailing a comparative study |
| topic | Nailing Plating Distal femur Fracture Modified Schatzker and Lambert criteria |
| url | https://jbota.org/index.php/jbota/article/view/106 |
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