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Category: Volume 06 Issue 08 August 2018
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Title: Assessment of Efficacy of Supra-Intercondylar and Supracondylar Femur Fractures Treated with Condylar Buttress Plates: A Comparative Study

Authors: Kailash Parihar, Ambadan Rao

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.109

Abstract

Background: Supra condylar femur fractures occur usually amongst two populations, young subjects that involve in high-energy accidents like motor vehicle and motorcycle accidents and sports trauma and older individuals, those are osteoporotic, after a low-energy fall fractures. With evolution orthopedic surgery, trends in management of supra-condylar and inter-condylar femur fractures are now more varied involving different surgical techniques. The present study was conducted with the aim to assess the of efficacy of Supra-Intercondylar and Supracondylar Femur Fractures Treated with Condylar Buttress Plates.

Materials and Methods: The study was conducted in the department of orthopedics for a period of 2 years. During this period 90 patients reported with femur fractures, out of which 60 were treated by open reduction.CBP was used after reduction of fracture. If additional support was required then supplementary screw fixation was used. Active exercises were used were started immediately after surgery and ambulation was initiated with crutches. Postoperative radiographs were taken at every follow up visit. The functional outcome was assessed using the score given by Mize. Student t test was used for the analysis of data. The probability value of less than 0.05 was regarded as significant.

Results: The study enrolled 60 subjects out of which 30 were having supra intercondylar fractures and 30 had supracondylar fractures. The rate of union was 93.3% (n=28) in supra intercondylar fractures and 96.7% (n=29) in supracondylar fractures. There was no significant difference between the two groups. The average knee score in Group I was 73.4 an din Group II was 86.2. There was a significant difference between the two groups

Conclusion: From the present study we can conclude that functional outcome of supracondylar fractures was better with condylar plates as compared to supra intercondylar fractures

Keywords: ambulation, intercondylar, supracondylar.

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Corresponding Author

Dr Ambadan Rao

Associate Professor, Department of Radiodiagnosis, Government Medical College, Pali, Rajasthan, India