FUNCTIONAL OUTCOME AND EVALUATION OF RESULTS OF FRACTURES OF FEMUR TREATED BY DUAL IMPLANTATION

Abstract

Background: Fractures of femur comprise a majority of lower limb trauma.The evaluation and management of patients with femoral fractures has evolved on the basis of improved understanding of local anatomy and biomechanics of xation techniques.Non union and infection are still the two most common problems we encounter in day to day practice.In this study we aim to evaluate the functional outcome and results of dual implantation on these femoral fractures and it's effect on bone healing and early weight bearing particularly in cases of non union,fractures prone to non union etc Methods: The study was conducted on a group of patients attending our institution over a period of two years.Patients with fractures of femur meeting our inclusion and exclusion criteria requirements were taken up for surgery and subsequently evaluated for the following parameters such as functional range of motion of knee,average time to weight bearing,time taken for radiological union. Results: 30 patients were evaluated in the age group of 12-70 years in a 2 year period.Majority of the patients achieved union at 12-16 weeks and nearly 70% of patients commenced partial weight bearing by 8-9 weeks.Majority of the patients had favourable knee and hip scores. Conclusion: Overall from this study Dual implantation in fractures of femur led to early radiological union,early weight bearing and favourable range of motion of knee particularly in cases of non union and other complex cases.