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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Functional and Radiological Outcomes after Locking Compression Plate Fixation of Adult Distal Femur Fractures: A
B M Sahukar1, Udit Agrawal2, B K Vaibhav2
1Department of Orthopaedics, Janapriya Hospital, Hassan, Karnataka, India.
Annals of African Medicine
|July 31, 2026
Summary
Distal femur locking compression plate fixation offers stable treatment for adult fractures, yielding good to excellent outcomes in most patients. Careful surgical planning and rehabilitation are key to successful recovery and minimizing complications.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- Distal femur fractures present significant fixation and reconstruction challenges.
- Achieving stable fixation, joint congruity, and early mobilization is crucial.
Purpose of the Study:
- To evaluate functional and radiographic outcomes of distal femur locking compression plate fixation.
- To assess treatment-related complications in closed adult distal femur fractures.
Main Methods:
- Prospective observational study of 32 adult patients with closed distal femur fractures (AO/OTA 33A-C).
- Treatment involved distal femur locking compression plate fixation.
- Clinical and radiological assessments performed at 6 weeks, 3 months, and 6 months using Neer's scoring system.
Main Results:
- A high combined excellent-good outcome rate of 93.7% was observed.
- The most common fracture subtype was AO/OTA 33C3.
- Complications included pain, infection, stiffness, and nerve injury, with lower rates for myositis, hardware prominence, and nonunion.
Conclusions:
- Distal femur locking compression plate fixation provides stable fixation and promotes functional recovery in adult distal femur fractures.
- Optimal outcomes are contingent upon meticulous surgical technique, soft-tissue preservation, and rehabilitation.
