104 Our Management of Distal Femoral Comminuted Fractures with Femoral Defects

Abstract Aim Distal femoral fractures account for 3–6% of all fractures. Current management distal involve reducing bone fragments and placing a locking plate against it. In this study, the surgeon used ‘selective approach’, whereby only key in comminuted fracture were reduced fixed whilst rest either removed or left unreduced/unfixed. Method All patients underwent AxSOS plate/less invasive stabilisation system (LISS) surgery after adopting “selective approach” during pre-surgical planning. A significant proportion had degree defect, most open Primary outcomes included post-operative functional ability, quality life assessed using EQ-5D-5L, Oxford Hip Score (OHS), Knee (OKS), range movement. Results Average OKS OHS our cohort (n=10) is 23 35, respectively, with mean knee-flexion 86° (45°-120°). EQ-5D- 5L index value 0.551; common response mobility, self-care, usual activities, pain/discomfort, anxiety/depression was moderate. 20% developed pin site infections, 40% reported knee stiffness. Conclusions Despite having complex where many defects, 80% fractures, adopted present study achieved comparable to other studies less-severe characteristics, similar operation times knee-flexion. These results suggest that alternative should be considered as potential treatment option, although more on patient ours needed allow better comparison surgical approaches.