A Comparative Study of Locking Compression Plate versus Intramedullary Nailing in the Management of Distal Femur Fractures

AbstractBackground: Distal femur fractures represent a challenging clinical entity, accounting for approximately 6% of all femoral fractures. The optimal fixation method between locking compression plates (LCP) and intramedullary nailing (IMN) remains controversial. This study compared the functional outcomes, complications, and radiological union rates between these two surgical techniques.Methods: This prospective comparative study included 96 patients with distal femur fractures (AO/OTA types 33-A and 33-C) treated between August 2022 to July 2024. Patients were allocated into two groups: Group A received LCP fixation (n=48) and Group B received retrograde IMN (n=48). Primary outcomes measured were functional recovery using Neer's scoring system,time to radiological union, and complication rates. Secondary outcomes included operative time, blood loss, and hospital stay duration. Follow-up assessments were conducted at 6 weeks, 3 months, 6 months, and 12 months postoperatively.