A CLINICAL STUDY OF EVALUATION OF THE FUNCTIONAL OUTCOME OF DISTAL END FEMUR FRACTURE MANAGEMENT, BIHAR, INDIA.

Abstract

Background
Nearly six percent of all femur fractures are distal fractures. The purpose of this study was to assess how treating distal femur fractures affected functional results.

Materials and Methods
64 patients of both sexes who had distal femur fractures were analyzed. The study noted details including the fracture subtype, affected side, and etiology of damage. Utilizing the Anugrah Narayan Magadh Medical College, Gaya for Special Surgery scoring system, functional results were evaluated.

Results
Of the 64 patients, 30 were men and 34 were women. Thirty incidents of injuries were caused by traffic accidents, 17 by falls, and 19 by other reasons. 13 individuals had fractures to their right side, and 27 to their left. In 40 cases, treatment involved open reduction with locking compression plates; in the other 18 cases, closed reduction was used. The average knee score was 88.2, and the range of knee flexion was 101 degrees. In 54 cases, the functional outcomes were excellent, in 21 cases good, and in 4 cases fair. Two cases of limb length discrepancy, one case of malunion, two cases of shortening, and two cases of knee stiffness were among the complications.

Conclusion
Both closed reduction and open reduction with securing compression plates were employed as therapeutic modalities for the management of distal femur fractures. The majority of cases had very good functional results.

Recommendations
Based on the study's findings, it is recommended that for the management of distal femur fractures, healthcare professionals consider both closed reduction and open reduction with securing compression plates as viable treatment modalities. These approaches have shown positive functional outcomes, with the majority of cases achieving excellent results in terms of knee function and mobility.