![]() The overall nonunion rate in the locked plating group was higher than in the RIMN group, though likely due to surgical technique rather than the choice of implant ![]() Nailing proved to be more cumbersome intraoperatively but showed an inclination towards earlier union, while LISS plating showed technical errors to be more common and less forgivingīridge plating and RIMN showed similar results in the treatment of extra-articular distal femur fractures In this systematic review, a step-wise methodical approach is performed to compare outcomes of distal femur fractures treated with either IMN or LP. However, while proponents of each treatment modality will debate on pros and cons of both IMN and LP, there is still no clear consensus on a gold standard when it comes to treating distal femur fractures. Continued understanding of surrounding anatomy, along with the concurrent metallurgic and biomechanical evolution of both IMN and LP technologies, results for both treatment modalities have been favorable in the recent literature. IMN typically is performed in the retrograde fashion, while LP can be performed via a midline or minimally invasive lateral approach. With rare indications for non-operative treatment, the majority of distal femur fractures are treated operatively via either intramedullary nailing (IMN) or locked plating (LP). Improper restoration of distal femoral anatomy can cause significant disability due to significant shifts in the anatomic and mechanical axis of the affected limb. ![]() Excessive deforming forces cause significant deformity, making this fracture clinically challenging to treat. Proper understanding of the biological and biomechanical principles of the Ilizarov method and careful application give excellent results in almost all cases of open supra condylar fractures.Distal femur fractures make up < 1% of all fractures and 3–6% of all femur fractures. CONCLUSIONS The Ilizarov technique allows early restoration of function of the limb which results in adequate stimulus for early soft tissue and bone healing. In our study, we obtained Neer's knee score with an average of 76 (50-98) (satisfactory to excellent). Average range of flexion achieved in our study in more than 50% of patients was 1100. Six patients had developed pin tract infections. RESULTS Among the 20 patients operated, 13 patients (65%) showed radiological union within 18 weeks. The results were assessed using Neer's Scoring System (Table-1), with main emphasis on range of mobility of knee joint. The duration of follow up ranged from 3 months to 1 year. All cases were fresh, and were in the age group of 22 yrs. ![]() The method used for fracture fixation was primary Ilizarov ring fixation. METHODS In our study in Osmania General Hospital, 20 patients with open fracture of distal femur were operated. To address this problem, we used Ilizarov ring fixator in the management of comminuted supracondylar fractures with intercondylar extension of the distal femur (C2 and C3 Type according to AO/ASIF Classification). Conventional unilateral knee spanning external fixators and hybrid fixators can cause problems like knee joint stiffness and the issue of bone loss is difficult to deal with. Intramedullary devices are also not suitable in such situation. Fixation with conventional methods are difficult. Varieties of treatment modalities are available and are challenging. Conservative line of management is obsolete because of associated complications. Abstract : BACKGROUND Supracondylar fractures with intercondylar extension of distal femur are often due to high energy trauma.
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