Open Reduction Outcome of Intraarticular Fractures distal femur

Distal femoral intra-articular fractures (DFIAF) can be very challenging. Although, ýsatisfactory outcomes have been reported, however, there are several ýcomplications interfering the patients after treatment. In current retrospective ýstudy, the outcomes of treating DFIAF with open reduction internal fixation ýý(ORIF) using locking plates (LCP) were investigatedý.
Material and There were 51 patients enrolled. In last visit, Lysholm score was completed for all ýof the patients. Pain intensity and satisfaction were measured using visual ýanalogue scale (VAS). Degenerative changes were assessed on plain x-rays. ýBilateral knee range of motion was measured and compared. The patients were ýfollowed for 17.4±7.2 monthsý.
Fractures were united in all of the patients. Degenerative changes were found in ýý15 patients (29.4%). The pain intensity was 2.7±1.3. Nineteen patients required to ýuse analgesics (37.2%). VAS for satisfaction averaged 7.7±1.1. The Lysholm score ýaveraged 81.8±8.3. The range of knee motion was significantly limited inn ýoperated side compared to the healthy one (116.6±12.4 Vs 125.3±7.3; p Treatment of DFIAF using ORIF can be associated with complete fracture healing. ýHowever, the incidence of degenerative changes and consequent complications ýsuch as pain and loss of ROM are considerably concerning.ý