Original Research Article
Year: 2021 | Month: March | Volume: 8 | Issue: 3 | Pages: 366-369
To Study the Complications and Functional Outcome of Patients of Distal Femoral Fracture Managed Operatively
Amit Kumar1, Sanjeev Gupta2, Rameshwar Singh Manhas3
1PG 3rd year, Department of Orthopaedics, GMCH Jammu, J&K
2Professor & HOD, Department of Orthopaedics, GMCH Jammu, J&K
3Registrar, Department of Psychiatry, GMCH Jammu, J&K
Corresponding Author: Rameshwar Singh Manhas
ABSTRACT
Background: Distal femoral fractures are most commonly due to high velocity trauma. It has bimodal age of distribution. In young age group high velocity trauma is main cause but in old people even trivial fall can lead to distal femoral fracture. Treatment of distal femoral fracture evolved from non-operative to operative in recent times.
Aim: To evaluate the functional outcome and complication of distal femoral fractures managed operatively.
Methodology: A prospective study was conducted in Govt. Medical College Jammu, J&K from 2019-2020. Twenty-seven patients were included in study. There were eighteen male and nine females. Six-month follow up was done after operative intervention. Record of Functional outcome by using Neer’s scoring system and complications were noted in every patient and record on separate sheet.
Results: Delayed union and implant failure were the most commonly encountered complication during post-operative period observed in 7.4% patients followed by superficial infection in 3.7%, deep infection in 3.7%, varus mal-alignment in 3.7%, valgus mal-alignment in 3.7% and non-union in 3.7% patients. As per neer’s scoring system 37% patents had excellent rating whereas, 44.5% had good outcome, 14.8% had fair and 3.7% had poor outcome.
Conclusion: Distal femoral fracture was managed operatively in recent times but complications are very common like infection, mal-alignment, implant failure, non-union and delayed union. Stiffness of knee is also a major issue. Soft tissue management as well as reduce operative time with proper bio-mechanical stability of fracture are very important aspect in management of distal femoral fractures.
Keywords: distal femoral fracture, functional outcome
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