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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 6 Issue 1 Jan-March 2020

Original Articles

Assessment of treatment outcome of inter-condylar and supra-condylar fractures of femur by Swashbuckler approach: A clinical study
Sanjeev Gupta, Burhan Bhat, Anitipal Singh

Background: Various surgical approaches in the past literature have suggested achieving an adequate exposure of the distal femoral articular surface, including medial/lateral parapatellar approaches, Swashbuckler approach, tibial tubercle osteotomy, and combined medial and lateral approaches. Hence; the present study was undertaken for assessing the treatment outcome of inter-condylar and supracondylar fractures of femur by Swashbuckler approach. Materials & methods: 10 adult patients with open reduction and internal fixation of distal femur fractures with multifragmentary articular involvement were included were initially managed according to advanced trauma life support guidelines. The fractured limb was splinted in a Bohler-Braun frame, with the application of skin traction. Radiological evaluation was done in all the patients. Distal femur stainless steel implant was used. The knee was mobilized on the 1st or 2nd postoperative day, depending on the degree of postoperative pain. The clinical and radiological evaluation was done. Knee Society Score (KSS) was evaluating the outcome of treatment. Results: Mean duration of surgery was found to be 90.3 minutes. Mean time for boney union was found to be 16.8 weeks. In the present study, excellent results were obtained in 70 percent of the patients while good results were seen in 20 percent of the patients. Conclusion: For a better functional outcome proper anatomical restoration and alignment is required which can be achieved by swashbuckler approach as proper exposure of joint is possible to reconstruct the articular surface. Key words: Swashbuckler approach, Femur

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