Year: 2025 | Month: November | Volume: 15 | Issue: 11 | Pages: 231-236
DOI: https://doi.org/10.52403/ijhsr.20251128
Functional outcome of Supracondylar Femoral Fracture Fixation using 95° Angled Blade Plate
Dr. Harsh Maheshwari1, Dr. Ashish Sirsikar2, Dr. Lakhan Singh Maravi3
1Post Graduate Student, Department of Orthopaedics Netaji Subhash Chandra Bose Medical College, Jabalpur (M. P.)
2Associate Professor, Department of Orthopaedics Netaji Subhash Chandra Bose Medical College, Jabalpur (M. P.)
3Professor and Head, Department of Orthopaedics Netaji Subhash Chandra Bose Medical College, Jabalpur (M. P.)
Corresponding Author: Dr. Ashish Sirsikar
ABSTRACT
Background: Supracondylar femoral fractures represent complex injuries occurring just above the knee joint, often associated with significant functional impairment and morbidity. The 95° angled blade plate provides rigid fixation, particularly beneficial in comminuted fractures due to its fixed angle construct. This study aims to evaluate the functional and radiological outcomes of supracondylar femoral fractures managed using a 95° angled blade plate.
Methodology: This prospective study was conducted on 30 patients with supracondylar femoral fractures who underwent open reduction and internal fixation using a 95° angled blade plate at N.S.C.B. Medical College, Jabalpur, between April 2023 and March 2025. Patients were followed up at 1.5, 3, and 6 months postoperatively for clinical and radiological assessment using the Knee Society Score (KSS). The mean patient age was 54 ± 14.44 years, with road traffic accidents accounting for the majority of cases (58.82%), followed by falls (41.18%).
Results: Of the 30 patients enrolled, 28 patients had a complete follow up of 6 months postoperatively. The mean clinical union was achieved at an average of 17.14 ± 1.87 weeks and radiological union time was 21 ± 2.18 weeks, with an overall union rate of 93%. According to the KSS [Knee society score], 64.3% of patients demonstrated good outcomes, 25% fair, 7.1% excellent, and 3.6% poor results. A superficial infection occurred in two patient (0.6%), which was successfully treated with antibiotics.
Conclusion: Fixation of supracondylar femoral fractures using a 95° angled blade plate provides stable fixation, anatomical alignment, and satisfactory functional
outcomes when meticulous surgical technique and preoperative planning are followed. The 95° angled blade plate remains a dependable option for managing distal femoral fractures, demonstrating excellent union rates and functional recovery in the majority of patients.
Key words: Supracondylar femoral fracture, 95° angled blade plate, internal fixation, distal femur, Knee Society Score, functional outcome.