Abstract
Background: The use of LCPs resulted in significant improvements in fracture stability and alignment. Radiographic evaluations demonstrated high rates of bone union, with reduced incidences of malunion and nonunion. Functional outcomes showed considerable improvements, with mean KSS and FIM scores indicating enhanced knee function and overall mobility. The complication rates were lower compared to traditional fixation methods, with fewer instances of screw loosening and plate failure. However, some complications, including superficial wound infections, delayed wound healing in diabetic patients, and tibial pin tract infections, were observed. Locking compression plates provide effective and stable fixation for distal femur fractures, offering advantages over traditional plating systems. The reduced complication rates and improved functional outcomes support their use as a preferred method for managing complex distal femur fractures.Aim: This study aimed to evaluate the effectiveness of locking compression plates (LCPs) in the surgical management of distal femur fractures. The findings highlight several critical aspects of LCPs and their impact on patient outcomes, emphasizing their role in modern orthopedic trauma care.Material and Method: This study was a prospective, observational cohort study conducted in the Department of Orthopedics Tertiary care Hospital. Written consent was obtained from all the participants of the study. A total of 30 cases were selected for the study based on the inclusion and exclusion criteria. They were admitted and examined according to protocol clinically and radiologically. All patients were followed up for a minimum of 6 months and the outcome was assessed with Neer’s score. Patients were discharged at postoperative day 3 with stitch removal being done on day 14th, making it convenient for the patient to take bath and maintain good body hygiene. Regular follow-up of all cases was done at 3 months, 6 months, and 12 months.Results: In our study involving 30 patients, 20 (66.6%) were male and 10 (33.3%) were female. The most common causes of injury were road traffic accidents, which occurred in 9 patients (30%), and falls from height or stairs, which affected 8 patients (26.6%). Eleven patients underwent surgery within one week of their injury, while 2 patients, who had been initially admitted to another hospital, presented for surgery approximately 5 days post-injury. The outcomes of the surgery for adult distal femur fractures were assessed using Neer’s pain score, functional score, knee flexion score, and assessment of gross anatomy. Late complications included knee stiffness in a patient who was not compliant with physiotherapy and had a low pain threshold.Conclusion: The study confirms that locking compression plates are a highly effective method for the surgical management of distal femur fractures, offering superior stability, reduced complication rates, and improved functional outcomes compared to traditional fixation methods. However, attention to patient-specific factors and postoperative care is crucial to mitigate complications and achieve optimal recovery. Future research should continue to explore the long-term outcomes and