Assessment of outcome in treatment of distal femoral fractures in adults with locking compression plate

To Assess clinical and radiological union in optimum position and to assess the functions & complication of the knee joint. In our study of 15 cases, 10 patients (68%) were in the age group of <60 years 5 patients (32%) were more than 60 years. most of the patients (87%) were males. Sixty percent patients were of lower middle socioeconomic status. Two third of patients were literates and one third were illiterates. More than Half patients (63%) had right sided injury. Mode of injury in most of the patients (94%) was road side accident. One third of the patients had associated medical conditions (2 diabetic patients, 3 hypertensive). 60% patients had simple fractures. Most (75%) of the patients had C type of fractures. five patients (34%) were having osteoporosis. Most of the patients were operated within an interval of 7 days (54%). Two patients (13%) suffered immediate complications, both had superficial infection. 40% patients were allowed partial weight bearing in 9–11 weeks, 32% patients started partial weight bearing in 12–14 weeks and 28% patients were allowed partial weight bearing in 14–18 weeks. 66% patients had sufficient callus formation. Knee arthrosis was present in 34% of cases before injury. Knee arthrosis was found in 55% of the patients in post operative period. 28% of patients had range of movements 100–129 and only 3 patients (16%) obtained full knee movements. Most of the cases (45%) had good results according to Neer criteria, 28% cases had excellent and 27% of cases had fair results. It was concluded that locking compression plate can provide better post operative range of knee motion with overall better Neer score, achieving bony union in all the cases.