Abstract

Background: The goal of fracture treatment is to obtain union of the fracture in the most compatible anatomical position which allows maximal functional restoration of the extremity. The increase in stability provided by Locking Compressive Plates (LCP) is most helpful to surgeons treating a fracture in poor-quality bone, and comminuted fracture.

Objective: To find out the Management of Surgical Supracondylar Femoral Fracture by locking compression Plate. Materials & Methods: Prospective interventional (Quasi Experimental) study was conducted from June 2016 to February 2017 in the Dhaka Medical College Hospital. All patients of Supracondylar femur fracture treated by LCP implantation were included in the study.

Results: Total number of patients was 28. The mean age was 40.96 years ranging from 20 to 66 years. Shows, out of 28 cases, 24 (85.7%) cases were male and 4 (14.3%) were female. The male and female ratio is 6:1. An analysis of functional outcome of 28 cases of displaced distal femoral fractures, internally fixed using locking compression plates. The selected patients were evaluated thoroughly and after the relevant investigations, were taken for surgery. The fractures were classified as per the MULLER’S types and operated accordingly with ORIF with LCP. Early range of motion was then started. Weight bearing up to 6-12 week was not allowed. The full weight bearing deferred until 24 weeks or complete fracture union. The knee range of motion was excellent to very good, gait and weight bearing after complete union was satisfactory. This dissertation consists of 28 patients with supracondylar femoral fractures, treated with locking compression Plating. None of the patients were having bilateral fractures. There were males 20 and 8 females. 8 patients had associated fractures. There were 28 compound fractures (6 cases were grade 1, 14 cases were grade 2 and 8 cases were grade 3).

Conclusion: Complications associated with the plate were few and the functional outcome was excellent. Thus, many of the common complications of the conventional plating can possibly be avoided. We therefore recommend the use of locking plate, especially in elderly patients with osteoporotic bone and comminuted fracture.