The fracture of distal femur are often unstable and comminuted and as difficult to treat. The incidence of complications in these fracture are relatively high. We have treated the fracture of distal femur with comminuted medial wall with condylar buttress plate and support of medial wall with TENS nail.Fifty three patients with intercondylar fracture of distal femur were selected. There were thirty seven males and sixteen females. The average age of the patients was 36.2 years. All the patients were operated between 3 to 7 days. The final outcome was assessed according to schatzker and Lambert scoring system. The complications were also noted.The result was excellent in fifteen, good in twenty three, fair in eleven and poor in four according to schatzker and Lambert scoring system. The average time to Union was 14.2 weeks. Complications include superficial wound infection in five patients, minimal pain in ten, knee stiffness in four and varus angulation less than 5 degree in seven patients.The use of TENS nail for medial femoral defect along with condylar buttress plate may eliminate the need of plate on medial side. The varus angulation that occurs with defect is defect is decreased and additional long incision and operative time is avoided.
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