Outcome study of use of Locking Compressive Plates in Supracondylar femur fracture

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. The use of bone-implant constructs through interfragmentary compression may result in devascularisation of bone fragments and delayed fracture healing. Aims: To study outcome of the use of open reduction and internal fixation with Locking Compression Plate (LCP) implantation in Supracondylar femur fracture. Study design: Prospective descriptive study. Methods: Study was conducted in Department of orthopedics, Government Medical College & Hospital, Akola, Maharashtra, India from January 2014 to March 2014. All 30 patients of Supracondylar femur fracture treated by LCP implantation were included in the study. Results: Supracondylar femur fracture (38.4%) found to be most common fracture among lower limbs fractures. Majority of the cases 55 (70.5%) were injured due to road traffic accident (RTA). 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