A Study of Combined Management of Fracture Distal End of Femur With Patellar Fracture in Tertiary Health Care Centre in Central india.

Background-Fractures of distal femur & patella had been seen as separate entity. But being parts of joint they should be treated as a unit.Hence this study aims at treating the fractures together & assessing the postop outcomes. Methods-The study is longitudinal observational study of 37 patients with combined distal femur & patella fractures.A predesigned proforma was used for data collection. Patients were followed 18 months post operatively. Patient’s functional results were evaluated using Friedman and Wyman scoring system. Results- Average age of presentation was 36.5 + 14.14 years. In total 13.51%patients had poor scoring. Intra- articular fractures of distal femur (P<0.03)& non operatively treated patients of fracture patella had <90° range of motion(ROM)(P<0.0002). Conclusion-Combined operative management of fractures of distal femur & patella have better restoration of ROM.