Study To Determine the Different Treatment Options for Fractures of Distal Femur

Abstract

Introduction: Due to the large number of complications and the negative impact of these complications on the knee and the entire lower limb, fractures of the distal femur require stable stabilization ensuring optimal restoration of functional anatomy and early recovery. The article presents the authors' experiences concerning the indications and results of the most frequently used surgical methods, including late complications of the knee joint.

Place and Duration: In the Orthopedic Department of Muhammad Medical College and Hospital Mirpurkhas, Pakistan for one years duration from March 2019 to March 2020.

Material and methods: 46 patients (21-81 years old) with closed distal femoral fractures operated in the Orthopedic Department of Muhammad Medical College and Hospital Mirpurkhas, Pakistan  for one-year duration from March 2019 to March 2020, were retrospectively analyzed for fractures and implant type, functional results and complications.

Results: Most of the fractures were high-energy comminuted fractures (29 cases), mainly involving the joints. While retrograde nails were used in type A fractures, plating (PCL) was the main indication for type C fractures. The functional score correlated with the type of fracture, and the incidence of complications was higher in A3 fractures, C2 and C3

Conclusion: Anatomical reduction of the articular surface, restoration of functional anatomy, and stable stabilization are essential for optimal knee function after distal femur fractures. If they cannot be achieved due to the nature of the fracture or insufficient stabilization, the patient's recovery is delayed after significant functional deficiency.