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  3. 15.Comparative Study Between Dynamic Condylar Screw and Locking Plate Fixation in Fixation of Distal Femoral Fracture in Adults
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15.Comparative Study Between Dynamic Condylar Screw and Locking Plate Fixation in Fixation of Distal Femoral Fracture in Adults

Muhammad Zubair Farooq1, Yousaf Gul2, Muhammad Asghar Essa1, Inamullah2 and Shafaat Ullah3

                                                          ABSTRACT

Objective: In order to handle DFF in adults, this comparative study compares and contrasts DCS and locking plate fixation in terms of clinical and functional outcomes along with post-surgical complications.

Study Design: Cross-sectional retrospective study.

Place and Duration of Study: This study was conducted at the Mufti Mehmood Memorial Teaching Hospital in Dera Ismail Khan, Pakistan from January 2020 to January 2022.

Materials and Methods: There were 101 patients, whom were allocated into Group A (treated using DCS, n=51) and Group B (treated with locking plate fixation, n=50), through randomized stratification protocols. Regular follow up and monitoring on weekly and monthly basis was ensured for at least one year. The functional outcome of both techniques was compared based on range of motion, patients’ satisfaction, pain and incidence of complications during follow-up visits.

Results: Mean age of patients in Group A and B was 46.91+12.30 and 48.18+10.09 years. Group A and B had 58.82 and 72% male patients. Demographic variables of Group A and Group B did not differ statistically significantly (p>0.05). In Group A, majority of patients (56.86%) experienced outstanding functional outcomes, 27.55% had good, 9.80% had satisfactory outcomes, and 5.88% had poor outcomes. Similarly, 60% of Group B patients had outstanding, 32.0% had favorable, 6.0% had satisfactory and 2.0% had an-unfavorable outcome. Harris Hip Score also revealed the comparable findings for both groups. Occurrence of various complications was higher in DCS treated patients.

Conclusion: In management of distal femoral fractures in adults, both DCS and locking plate fixation procedures showed satisfactory and comparable clinical and functional outcomes, however, locking plate fixation outperformed DCS in terms of patient performance and satisfaction, while also presenting fewer complications. LCP was discovered to be a less complicated and more user-friendly technique, according to the existing evidence.

Key Words: Fracture fixation; Geriatric patients; Harris Hip Score; Orthopedic Surgery; Range of motion.

Citation of article: Farooq MZ, Gul Y, Essa MA, Inamullah 5. Ullah S. Comparative Study Between Dynamic Condylar Screw and Locking Plate Fixation in Fixation of Distal Femoral Fracture in Adults. Med Forum 2023;34(5):56-62.