Radiological and functional outcome of dual plating in distal femur multifragmentary articular fractures: A short term study

Abstract

Introduction: In this prospective case series, we are reporting a mean 12-month follow up of the utilization of dual plating technique for multi fragmentary articular distal femur fractures. Our technique consists of a lateral distal femoral locked plate and a low profile locked medial plate through a modified anterior (Swashbuckler) approach for the fixation of C2, C3 fractures. Materials and Methods: Fifteen patients (9 males and 6 females) presented with supracondylar femoral fractures type C2/C3, according to Müller long bone classification and its revision, OA/orthopedic trauma association classification. These fractures were treated using dual plating through the swashbuckler approach. They were followed up for clinical and radiological outcomes. Secondary outcomes included postoperative complications. Results: The mean time of radiological union in the studied population was 18 weeks with a range of 14–24 weeks. We did not observe any postoperative varus angulation. 12 out of 14 patients had good to excellent functional outcomes. Fair outcome was reported in only two patients. Conclusion: The technique of Dual plating fixation using modified anterior approach (swashbuckler) for type C2, C3 distal femoral fractures is an efficient method of management. It has several advantages such as precise exposure, easy manipulation, anatomical reduction, and stable fixation. However, surgical indications and principles should be strictly followed. The surgical technique must be perfect, and the biomechanical qualities of the implants must be understood to prevent the development of major complications.

Keywords

• distal femur fractures
• dual plating
• swasbuckler approach