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Distal Femur Fracture Fixation Study

This document is a dissertation submitted by Dr. S.V.L. Narasimha Reddy to the National Board of Examinations in India in partial fulfillment of the requirements for a Diplomate of National Board in Orthopedics degree. The dissertation studies the internal fixation of distal femur fractures using a dynamic condylar screw and plate system. It includes an introduction, literature review, description of the dynamic condylar screw system, treatment methods, potential complications, clinical materials and procedures used in the study, case records, analysis of results, discussion, and conclusion.

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2K views9 pages

Distal Femur Fracture Fixation Study

This document is a dissertation submitted by Dr. S.V.L. Narasimha Reddy to the National Board of Examinations in India in partial fulfillment of the requirements for a Diplomate of National Board in Orthopedics degree. The dissertation studies the internal fixation of distal femur fractures using a dynamic condylar screw and plate system. It includes an introduction, literature review, description of the dynamic condylar screw system, treatment methods, potential complications, clinical materials and procedures used in the study, case records, analysis of results, discussion, and conclusion.

Uploaded by

Cris Ronald
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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A STUDY OF INTERNAL FIXATION OF

DISTAL FEMUR FRACTURES USING


DYNAMIC CONDYLAR SCREW AND PLATE.

A DISSERTATION SUBMITTED TO THE


NATIONAL BOARD OF EXAMINATIONS,NEW DELHI.
IN PARTIAL FULFILLMENT OF THE REGULATIONS
FOR AWARD OF THE DEGREE OF

DIPLOMATE OF NATIONAL BOARD


ORTHOPAEDICS. JUNE 2009.

SUBMITTED BY
Dr.S.V.L.NARASIMHA REDDY
PR/ORTH/C/208/06

UNDER THE GUIDANCE OF


Dr.R.MUKUNDAN M.S.Ortho, FRCS
Head, Department of Orthopaedics.
St.THERESA’S GENERAL HOSPITAL
SANATHNAGAR, HYDERABAD- 500018.
DECLARATION

I, Dr. S.V.L.Narasimha Reddy declare that this


dissertation entitled, A STUDY OF INTERNAL FIXATION OF
DISTAL FEMUR FRACTURES USING DYNAMIC
CONDYLAR SCREW AND PLATE, has been prepared by me
and carried out under the guidance of Dr. Mukundan,
Head, Department of orthopaedics, St. Theresa’s General
Hospital, Hyderabad. This material has not been submitted
by me previously for the award of any degree or diploma for
any university.

Hyderabad
December, 2008 Dr.S.V.L.Narasimha Reddy
CERTIFICATE

This is to certify that the dissertation “ A


Study of Internal Fixation of Distal Femur
Fractures using Dynamic Condylar Screw and
Plate” is a bonafide work done by Dr.
S.V.L.Narasimha Reddy under my guidance and
supervision in the Department of orthopaedics at St.
Theresa’s General Hospital, Hyderabad, in partial
fulfillment of requirement for the award of the degree
of Diplomate of National Board in Orthopaedics as
per the rules laid down by the National Board of
examinations in the accredited institution.

Dr.R.MUKUNDAN
M.S(ORTHO), FRCS
Consultant orthopaedic
surgeon & head
Department of Orthopaedics
St.Theresa’s General Hospital
Sanathnagar, Hyderabad.
ACKNOWLEDGEMENTS

I am extremely fortunate to have Dr.R.Mukundan, MS,


FRCS, Consultant orthopaedic surgeon – St. Theresa’s hospital,as
my guide. I owe a deep sense of gratitude for his constant
encouragement. Without his personal attention and co-operation, it
would not have been possible for me to complete this study.

I am very thankful to the operating theatre staff and the


medical records department of St. Theresa Hospital for their kind
co-operation.

I am very grateful to the hospital administration, for


providing me with the internet facility and the library round the
clock.

It is my duty to thank all the patients who have co-


operated with me in all respects with utmost patience, never
minding the inconvenience I caused them, while subjecting them to
the study.

Dr.S.V.L.Narasimha Reddy
CONTENTS
Part- I Page No.

1. Introduction 1

2. Aims and objectives 3

3. Anatomy of lower end of femur 5

4. Biomechanism 8

5. Classification of supracondylar fractures of femur 10

6. Review of literature 12

7. Dynamic condylar screw system 19

8. methods of treatment 22

9. Complications 24

Part- II

10. Clinical materials and procedures 27

11. Case records 35

12. Master chart 76

Part- III

13. Analysis of results 77

14. Discussion 84

15. Conclusion 86
16. Bibliography 87

PART-I
PART-II
PART-III

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