Role of Arthroscopy-Assisted Fracture Fixation in Intra-Articular Distal Femur Fractures with Ligamentous Injury

Abstract

Background: Intra-articular distal femur fractures with in ligamentous injuries pose considerable obstacles to anatomical reduction and excellent functional outcomes. Arthroscopy-assisted procedures provide direct visualisation of the joint, allowing for precise reduction and care of concomitant soft tissue damage.
Objective: To determine the efficacy of arthroscopy-assisted fracture stabilisation in intra-articular distal femur fractures with ligamentous damage.
Methods: A prospective observational study of 25 patients with intra-articular distal femur fractures and accompanying ligament injuries was carried out over an 11-month period. Patients received arthroscopy-assisted fixation. The outcomes evaluated were fracture union, pain (VAS), and functional results.
Results: Arthroscopy-assisted fixation achieved higher union rates (88%), lower pain levels, and better functional outcomes. Statistical significance was found (p < 0.05).
Conclusion: Arthroscopy-assisted fixation increases visualisation, allows for concurrent ligament manipulation, and improves results in distal femur fractures.