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Fractures of the distal femur are high-velocity injuries and are associated with factors such as fracture comminution and osteoporosis, especially in elderly individuals which are quite challenging to manage. Various implants and techniques are available for the surgical management of these fractures. This study was performed to evaluate the functional outcome of these fractures following ORIF (Open reduction and internal fixation) with the DFLP (Distal femoral locking plate). Thirty patients with distal femoral intraarticular fractures who presented between February 2013 to February 2016 were managed by ORIF with DFLP and were followed up for three years. Functional evaluation was performed using the Neers scoring system. The average age of the patients was 38.06 years ranging from 22 to 64 years. There were twenty-one males, and nine females seen in our study with the right side being more commonly affected. We achieved a 100% union rate in our series with the meantime to fracture union being 12.86 weeks. We had excellent results in 65% of patients and satisfactory results in 35% of patients with minimal complications. ORIF with the DFLP is a unique biological fixation option in intraarticular fractures of the distal femur, and it provides for reasonable rates of fracture union and an excellent functional outcome with minimal complications.
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