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Efficacy of dynamic condylar screw for the treatment of distal femoral fractures: a prospective study

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Original Article

Author Details : S V L Narasimba Reddy, K Srinivas Yadav, Ashwin Kasturi*

Volume : 6, Issue : 1, Year : 2020

Article Page : 41-45

https://doi.org/10.18231/j.ijos.2020.008

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Abstract

Introduction: The incidences of distal femoral fractures are more common in males around the age of 30
and in elderly females. Dynamic Condylar Screw is cost-effective and procedure relatively easy to perform
and affords a rigid internal fixation.
Materials and Methods: This prospective study was done on 56 patients aged above 18 years with distal
femur fractures. The patients were operated under spinal anaesthesia. A sand bag was used under the
ipsilateral hemi pelvis. Suction drain was used in all cases. Radiographs were taken on 1st POD. Change
of dressing and drain removal was done on 2nd POD. Suture removal was done on 10th POD. Follow-up
radiographs were taken at 6 weeks, 3 months and 6 months.
Results: The predominant age group for the femoral fractures is 31-40 years (35.7%) followed by 41-
50 years 32.1%). Type A fractures were seen in 76.78% of the cases, type B in 5(8.92%) and type C in
8(14.28%) of patients. Overall results were assessed using Knee Society Score. 31(55.36%) patients had
excellent results, 14(25%) had good, 9(16.07%) had fair and 2(3.57%) had poor outcomes.
Conclusion: DCS remains a good implant for distal femur fractures particularly types A and B. It is easier
to perform, less difficult technically and is also very satisfying to the surgeon and patients as the outcomes
are very good.

Keywords: Distal femoral fractures, Dynamic condylar screw, Road accidents, Osteoporosis.

How to cite : Reddy S V L N, Yadav K S, Kasturi A, Efficacy of dynamic condylar screw for the treatment of distal femoral fractures: a prospective study. Indian J Orthop Surg 2020;6(1):41-45

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