A study of combined management of fracture distal end of femur with patellar fracture in tertiary health care centre in Central India

Dr Santosh Kumar Mishra; Dr Deepak Muvel; Dr Deepak Singh Maravi; Dr Pankaj Mishra

Volume : V, Issue : III, March - 2016

A study of combined management of fracture distal end of femur with patellar fracture in tertiary health care centre in Central India

Dr Santosh Kumar Mishra, Dr Deepak Muvel, Dr Deepak Singh Maravi, Dr Pankaj Mishra

Abstract :

Background-Fractures of distal femur & patella had been seen as separate entity. But being parts of joint they should be treated as a unit. Hence this study aims at treating the fractures together & assessing the postop outcomes. Methods-The study is longitudinal observational study of 37 patients with combined distal femur & patella fractures.A predesigned proforma was used for data collection. Patients were followed 18 months post operatively. Patient�s functional results were evaluated using Friedman and Wyman scoring system. Results- Average age of presentation was 36.5+ 14.14 years. In total 13.51%patients had poor scoring. Intra- articular fractures of distal femur (P<0.03)& non operatively treated patients of fracture patella had <90� range of motion(ROM)(P<0.0002). Conclusion-Combined operative management of fractures of distal femur & patella have better restoration of ROM.