EVALUATION OF

RESULTS OF LOCKING
CONDYLAR PLATE IN
DISTAL FEMUR
FRACTURE-A
PROSPECTIVE STUDY

DR.TRIBHUVAN.S
PG- DEPT OF ORTHOPAEDICS
GUIDE:- DR.M.K.SIDDALINGA SWAMY
M.S.(ORTHO),DNB(ORTHO),DORTHO

PROF AND HOD

DEPT OF ORTHOPAEDICS
MVJMC & RH

NEED FOR STUDY

Distal femur includes supracondylar and
intercondylar regions of the femur extending
from metaphyseal-diaphyseal junction to the
articular surface of knee.
Distal femoral fracture accounts for 7% of all
femur fractures.A bimodial age distribution exists
A number of techniques have come up in the
past years, but the DF-CLCP has distinct
advantages. Distal femoral condylar locking
compression plate (DF-CLCP) as a smaller
application device and allows both locking and
compression screw fixation of the femur shaft.

OBJECTIVES OF STUDY

To study the functional outcome for

internal fixation of fractures of the distal
end of femur by locking condylar plates.

To evaluate the effectivness and

complications of distal end femur fractures
treated with locking condylar plates.

MATERIALS AND METHODS

The data for this study will be collected from

the patient admitted to MVJ MEDICAL COLLEGE
& RESEARCH HOSPITAL during the period
November 2013 to November 2015 treated
surgically using Locking condylar plate. Patients
from age group of 18 -70 years with distal
femur fractures evaluated during the period of
2 years for this study

SELECTION CRITERIA
Inclusion Criteria
Age group of 18 70 years
All cases of distal femur fractures both intra
articular and extraarticular fractures.

Exclusion Criteria
Open contaminated fractures
Polytrauma
pathological fracture
Hoffas fracture

INVESTIGATIONS

Complete hemogram
Blood urea, Serum creatinine, Serum electrolytes
Blood grouping and Rh typing
BT, CT and PT
Urine routine
RBS
X-ray of the pelvis with bilateral hips and femur full
length-AP, lateral view

Special investigations
Hbs Ag
HIV 1 and 2
ECG, Chest x-ray
ECHO, Spiral CT of knee

CONSENT
Before subjecting the patients for
investigations and surgical procedures
written/informed consent will be obtained
from each patient/ Legal guardian.

All the investigations and surgical

procedures will be undertaken under the
direct guidance and supervision of our
guide.
Radiological investigations will be repeated
post-operatively, at the end of 6 weeks,12
weeks and 6 months interval.

REFERENCE

EJ Yeap, AS Deepak. Distal Femoral Locking Compression

Plate Fixation in Distal Femoral Fractures: Early Results.
Malaysian Orthopaedic Journal2007 ; Vol 1no 1: 12- 17.

Christoph Sommer. Biomechanics and clinical application

principles of locking plates. Suomen Ortopedia ja
Traumatologia SOT 12006; Vol. 29: 20

Heather A. Vallier, Theresa A. Hennessey, John K. Sontich,

Brendan M. Patterson. Failure of DF-CLCP Condylar Plate
Fixation In The Distal Part of the The Femur A Report of Six
cases. j bone joint surg. 2006;88-a:no 4: 846-853

C. Sommer, R. Babst, M. Muller, and B. Hanson. Locking

Compression Plate Loosening and Plate Breakage A Report
of Four Cases. J Orthop Trauma September 2004; Vol 18: No
8: 571.

REFERENCE

Frankenhauser C, Frenk A, Marti A. A comparative

biomechanical evaluationof three systemsfor internal
fixation of distal fracture of femur. Orthopaedic Research
Society 1999; 24(1): 498.

Peter J. Obrien. Robert M. Meek, Piotr A. Blachut, Henry

M. Broekhuyse, fractures of the distal femur, Chapter -48
Rockwood and Greens Fractures in Adults ,Sixth
edition.Vol-2 pages 1915- 1967.

Paige Whittle, Fractures of the lower extremity, Chapter

-5 CAMPBELLS OPERATIVE ORTHOPAEDICS ,Eleventh
edition,Volume III, Pages 3170-3190.

Arneson TJ, Melton LJ 3rd,Lewallen DG,et al.Epidemiology

of Diaphyseal Fractures in Rochester,Minnesota,19651984.clin orthop.1988;188-94.

THANK YOU