Vol. 6, Issue 1, Part A (2024)

Background: Fractures of the distal femoral artery are categorized as A, B, or C per the AO classification. A type represents a straightforward extra-articular fracture, B type signifies a partial articular fracture, and C type denotes an entirely intra-articular fracture. This study aimed to assess the functional and radiological outcomes in Comminuted supracondylar fractures managed by either single or double plating.

Methods: Twenty cases were involved in this prospective, randomized clinical study of distal femoral fractures. Patients were separated into two groups of equal size: Group (I) including cases subject to a solitary lateral plate. Group (II) including cases subject to double plating.

Results: Knee society score was negatively correlated with partial weight bearing and full weight bearing when p 0.05 and r = -0.514, -0.535, and -0.485, respectively. Age and Knee society score are positively correlated, the lower the age, the higher the Knee society score. Younger patients exhibited a considerably shorter time to complete radiological healing and a higher knee society score, indicating a positive correlation between age and both healing time and knee society score.

Conclusion: In instances involving distal femur fractures of types C2 and C3, both lateral and double plating fixation utilizing the dual technique are effective and safe methods of treatment. However, in the following circumstances-medial supracondylar bone loss, low transcondylar bicondylar fractures, medial Hoffa fracture, periprosthetic distal femur fractures, nonunion following failed fixation with a single lateral plate, compromised bone quality, and Comminuted distal femur fractures C3-double plating is recommended.