Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1

IJCRR. 2014; 6(15): 01-05


Evaluation of Results of Open Reduction and Internal Fixation with Dynamic Condylar Screw in Management of Fracture Distal Third Femur

Ramavtar Saini,Rakesh Kumar Mishra,Anamika Vyas.

Abstract
Introduction:Fractures of distal third femur may present difficulties in their treatment and require careful management to obtain good cosmetic and functional results. In recent years greater advances have been made in understanding the technique of internal fixation. Over the time different type of implants angle blade plate, rush rod, enders nail have been used for the fixation of these fractures. These devices are technically demanding and none of them can provide interfragmentary compression across intercondylar fracture surface. However it is documented that dynamic condylar screw can solve these problems with added advantages of early functional rehabilitation of knee, stable internal fixation and maintenance of joint congruity.
Aim: The study was conducted to evaluate the results of dynamic condylar screw in management of fracture distal third femur in adults, at the same time comparing the results with other studies.
Materials and Methods: The study was conducted on 30 patients of fractures of distal third femur treated by open reduction and internal fixation with dynamic condylar screw with a post operative follow up of one year. Releavant parameters like time of union, range of movements at knee and complication associated with these fractures treated with dynamic condylar screw were recorded. Schatzker and Lambert criteria were used to grade the result.
Results: Out of 30 patients, 26 (87%) were male and 4 (13%) were female. The cause of injury was road traffic accident in 27 (90%) cases. Average time of union was 15 weeks. In 21 patients (i.e. 70%) the range of movement of knee was 110 on above. Two patients (7%) had non union. There were 4 patients (13%) with knee stiffness and two (7%) with limb shorting up to 1.5cm. Infection was also noted in 2 patients (7%). The surgical outcome was excellent in 12 patients (40%), good in 9 patients (30%), fair in 5 patient (17%) and poor in 4 patient (13%).
Conclusion: The dynamic condylar screw is an easy, technically less demanding and effective method for treatment of fracture distal third femur.

Key words: Fracture, Femur, Dynamic Condylar Screw (DCS), Management



Share this Article


Advertisement
American Journal of Research in Medical Sciences

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons