Dual Plate Fixation of Distal Femoral Fracture

Articles in Press

Document Type : Original Article

Authors

1 Professor of Orthopedic Surgery, Faculty of Medicine, Benha University

2 Department of Orthopedic Surgery, Faculty of Medicine, Benha University

3 Lecturer of Orthopedic Surgery, Faculty of Medicine, Benha University

Abstract

Background: Supracondylar femur fractures are commonly associated with severe comminution and significant soft tissue injury. This study aimed to evaluate the clinical results of the dual plate fixation in treatment of distal femoral fractures. Methods: This prospective analytic study was conducted on 24 patients suffering from distal femoral fractures admitted at Banha University Hospital and El-Ahrar Teaching Hospital, Orthopedic Surgery Department. Preoperative preparation included full history taking, full examination and full radiological assessment by pelvis AP view, femur AP and lateral views and knee AP and lateral views. Then, the patient was positioned supine on a radiolucent orthopedic table under fluoroscopy imaging and open reduction internal fixation was performed using dual plate. Results: Regarding knee range of movement, it was > 100° in 54.2%, 90 -100° in 37.5%, and < 90° in only 8%. The mean Oxford knee score was 39 ± 5. Regarding complications, only 16.7% had infection. No failure or revision was reported. The Oxford knee score showed significant negative correlations with age and post-operative hospital stay. Also, Oxford knee score was significantly higher in those with high energy trauma than those with low energy trauma. Conclusion: Distal femoral fractures are a source of considerable morbidity. MIPO with the dual plate technique can provide rigid fixation for osteoporotic distal femur fractures. This stable and rigid fixation may allow early mobilization and return to pre-fracture activity.

Keywords

Benha Medical Journal

Articles in Press, Accepted Manuscript
Available Online from 21 June 2023

Files

Share

How to cite

Statistics