Retrograde Nail vs Double Plating for Distal Femoral Extra and Simple Articular Fractures With Metaphyseal Comminution

Condition(s) studied

Investigational drug(s) / intervention(s)

Retrograde nail: Group A (20 patients) will be treated by retrograde nail Retrograde intramedullary nailing: The surgical approach will depend on the fracture type, either closed 'percutaneous trans-patellar approach,' or open 'medial Para-patellar approach,' which may be used in intra-articular fractures. After nail insertion, the knee will be taken through a full range of motion to ensure articular function.

Double plating: Group B (20 patients) will be treated double plating Double plating technique: It will be done through dual separate approach (medial and lateral) and fixation will be done using lateral locked distal femoral plate and medial buttress plate.

Study summary

The objective of this study is to compare the short term functional clinical and radiological outcomes of retrograde nail versus double plating for distal femoral extra-articular and simple articular fractures with metaphyseal comminution.

Eligibility

Primary outcome measure(s)

• The Oxford Knee Score — 6 months
  The Oxford Knee Score (OKS) is a 12-item patient-reported specifically designed and developed to assess function and pain after around knee surgeries. It is short, reproducible, valid and sensitive to clinically important changes. Scores range from 0 to 48, with lower scores indicating severe arthritis (0-19) and higher scores representing better joint function (40-48).

Trial sites (1)

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