International Journal of Biomedical Research ISSN: 0976-9633 (Online) Journal DOI:10.7439/ijbr CODEN:IJBRFA IJBR (2014) 05 (11) www.ssjournals.com Research Article Functional outcome of ORIF of distal femur fracture (AO TYPE B) with intra-articular extension Shiblee S. Siddiqui * , Johny Bharat Joshi, Ravish Patel and Vishal Dindod Department of Orthopedics, New civil hospital, Surat, India *Correspondence Info: Dr. Shiblee S. Siddiqui Department of Orthopedics, New civil hospital, Surat, India E-mail: drjohn.bj13@gmail.com 1. Introduction “Few injuries present more difficult problems than those associated with supracondylar and intercondylar fractures of femur “- Sir Reginald Watson Jones 1 . The above statement by one of the great orthopaedician aptly describes the complexity in treating these fractures. Severe soft tissue damage, comminution, intraarticular extension, injury to the Quadriceps and extra articular adhesions are some of the challenges faced by the surgeon. In the early part of 20 th century closed reduction as described by Watson Jones and John Charnley 1 led to stiffness, angular deformities or shortening and needed prolonged confinement to the bed. This prompted the present generation of Orthopaedicians to indulge in a more aggressive treatment i.e. open reduction and internal fixation which led to complications like infection, non-union and inadequate fixation by an inexperienced surgeon. 1.1 Aims and objectives The aim of the study was to evaluate the functional outcomes of distal femur fractures with intra-articular extension (AO TYPE B) in Government Medical College, Surat from Jan 2011-Dec 2012 2. Materials and methods The present study was conducted to study the outcomes of management of distal femur fracture with inter-articular extension (AO TYPE B) in department of orthopaedics, Government Medical College, Surat on patients operated during the period of two year from January 2011 to December 2012. 2.1 Study design: Retrospective study 2.2 Source of data Patients operated for Distal femur fractures with intra-articular extension (AO TYPE B) in the Department of Orthopaedics, New civil hospital Surat during the period of two year from January 2011 to December 2012. 2.3 Sample size All patients with for Distal femur fractures with intra-articular extension (AO TYPE B) who underwent operative procedure from January 2011 to December 2012 were selected for the study. 2.4 Selection criteria Inclusion criteria  All patients with age above 18 years having supracondylar and intercondylar fractures of femur(AO TYPE B) with an indication for surgical management. Exclusion criteria  Pathological fractures  Polytrauma patients  Patients treated conservatively  Patients who were bed ridden or non-ambulatory  Patients with severe life threatening medical problems Abstract Background: Distal femur fractures with intra-articular extension (AO TYPE B) are complex injuries which have been treated by different methods. The authors studied the functional outcome of management of distal femur fractures with the published literature. Aim and objectives: The purpose of this study is to evaluate the outcome of operated cases of distal femur fracture with intra-articular (AO TYPE B) with open reduction and internal fixation and also to study union rates, full weight bearing of it by fixation. Study design: Retrospective study Materials and methods: Distal femur fractures with intra-articular extension (AO TYPE B) treated with open reduction and internal fixation during the period Jan 2011-Dec 2012 at Govt. Medical College, Surat formed the study population. They were evaluated to assess their clinical and functional results using Neer’s Scoring system and compared with the available literature. The results were analysed using di fferent parameters; male vs. female, age distribution, functional outcomes and complications etc. Results: The results were excellent in 70%, good in 19%, fair in 11% and poor in 0%. Results were assessed and found to be excellent in majority of cases with mean knee flexion being 102.8 degrees, mean fracture union time of 15.5 weeks, with mean full weight bearing duration of 12.7 weeks .complications being knee stiffness (0),delayed union (01),infection (01),shortening(01)knee pain (04) Conclusion: Surgery in the form of ORIF is recommended for Distal femur fractures with intra-articular extension (AO TYPE B) for good outcome and early mobilization with minimum preventable complications. Keywords: Distal femur fractures with intra-articular extension, ORIF (Open reducti on and internal fixation), Neer’s scoring system, AO TYPE B