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@article{183102,
        author = {Abhishek NK saha and Anindya Dutt and Aindrila biswas},
        title = {A STUDY OF MANAGEMENT OF FRACTURES OF LOWER END OF FEMUR WITH LOCKING COMPRESSION PLATE},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {3},
        pages = {363-371},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=183102},
        abstract = {Background:ractures involving the distal femur are complex injuries that can lead to long-term disability if not properly managed. With the rising number of high-energy trauma such as road traffic accidents and increased life expectancy contributing to osteoporosis-related injuries, the incidence of distal femur fractures has risen significantly.
Materials and Methods:
This retrospective study involved 30 adult patients with distal femur fractures, treated surgically using Locking Compression Plates (LCP) from January 2008 to January 2024. Patients were assessed based on demographic data, fracture type (classified using AO classification), comorbidities, associated injuries, knee range of motion, and complications. Surgical techniques included MIPPO for extra-articular fractures and TARPO for intra-articular fractures. Functional outcomes were evaluated using the NEER’s scoring system.
Results:
The study population had a mean age of 53 years, with the highest incidence in the 51–60 year age group. Males were more frequently affected. The average healing time was 10.3 weeks, delayed in open fractures. Knee flexion ranged from 40° to 130°, with a mean of 100°. According to NEER’s criteria, 60% had excellent outcomes, 36.67% good, and 1 patient experienced failure due to implant breakage. Complications included knee stiffness (3 cases), delayed union (5 cases), and one case of shortening >2 cm.
Conclusion:
Locking Compression Plates, especially when used with MIPPO and TARPO techniques, provide stable fixation with favorable outcomes in distal femur fractures. Early mobilization and minimal soft tissue damage contribute to improved functional results, particularly in osteoporotic and intra-articular fractures.},
        keywords = {Distal femur fracture, Locking compression plate, MIPPO, TARPO, Functional outcome},
        month = {July},
        }