Functional And Radiological Outcome Of The Distal Femur Fractures Fixed With Locking Compression Plate By Minimally Invasive Plate Osteosynthesis

Abstract

Introduction: Distal femur fractures are complex injuries often caused by high-energy trauma, and their management remains a challenge. Minimally Invasive Plate Osteosynthesis (MIPO) using Locking Compression Plates (LCP) has gained popularity as it aims to reduce soft tissue dissection and preserve vascularity, which may improve fracture healing and functional outcomes.

Objective: The purpose of this prospective study was to evaluate the functional and radiological outcomes of distal femur fractures treated with LCP and the MIPO technique.

Methodology: This study was conducted on twenty patients who presented with distal femur fractures at Adichunchanagiri Institute of Medical Sciences between February 2023 and July 2024. Patients were treated with the MIPO technique using LCP. Functional and radiological outcomes were assessed during follow-up at 1, 3, and 6 months post-operatively. Outcomes were graded using the Neer’s scoring system, which evaluates factors such as pain, function, range of motion, and stability.

Results: The average time for fracture union was 18.15 weeks. Ninety percent of the patients achieved fracture union, while two patients (10%) experienced a non-union. Complications included one case of implant failure due to a fall, and one case of a superficial infection. Based on the Neer’s score, 75% of patients had excellent or good results, while 15% had fair results and 10% had poor results.

Conclusion: The use of Locking Compression Plates with the Minimally Invasive Plate Osteosynthesis technique is a reliable and effective treatment for distal femur fractures, providing good to excellent functional and radiological outcomes with a high rate of fracture union.