Indian Journal of Orthopaedics Surgery

Innovative Education and Scientific Research Foundation

Email : editor@iesrf.org
Registered Under Government of India NGO – Indian Trust Act 1882

Efficacy of dynamic condylar screw for the treatment of distal femoral fractures: a prospective study

Article : Open access

Article type : Research Article

Volume : 6

Issue : 1

Year : 2020

Author : S V L Narasimba Reddy, K Srinivas Yadav, Ashwin Kasturi

Page no : 41-45

Abstract : Introduction: The incidences of distal femoral fractures are more common in males around the age of 30 and in elderly females. Dynamic Condylar Screw is cost-effective and procedure relatively easy to perform and affords a rigid internal fixation. Materials and Methods: This prospective study was done on 56 patients aged above 18 years with distal femur fractures. The patients were operated under spinal anaesthesia. A sand bag was used under the ipsilateral hemi pelvis. Suction drain was used in all cases. Radiographs were taken on 1st POD. Change of dressing and drain removal was done on 2nd POD. Suture removal was done on 10th POD. Follow-up radiographs were taken at 6 weeks, 3 months and 6 months. Results: The predominant age group for the femoral fractures is 31-40 years (35.7%) followed by 41- 50 years 32.1%). Type A fractures were seen in 76.78% of the cases, type B in 5(8.92%) and type C in 8(14.28%) of patients. Overall results were assessed using Knee Society Score. 31(55.36%) patients had excellent results, 14(25%) had good, 9(16.07%) had fair and 2(3.57%) had poor outcomes. Conclusion: DCS remains a good implant for distal femur fractures particularly types A and B. It is easier to perform, less difficult technically and is also very satisfying to the surgeon and patients as the outcomes are very good. Keywords: Distal femoral fractures, Dynamic condylar screw, Road accidents, Osteoporosis.