Surgical Treatment of Distal Femur Fractures in Adults: Evaluation of Results

Authors: Doukouré M , Kéita K , Abdoulaye Camara* , Camara T , Soumah A , Cissé W , Bah ML and Lamah L

DOI: 10.23880/jobd-16000286

Volume 9, Issue 1

Abstract

Introduction: Distal femoral fractures are defined as any bone gap in the femur whose focal point projects into the distal epiphyseal-metaphyseal line delimited by the “HEIM epiphyseal square”. The aim was to identify the anatomo-pathological forms of recent fractures of the distal extremity of the femur in adults, and to assess their treatment. Patients and Methods: This was a prospective, descriptive study of three (03) years, from January 1, 2013 to December 31, 2015, involving 45 patients at the Orthopedics-Traumatology Department of the Ignace Deen University Hospital. Adult patients received for recent distal femur fracture treated surgically, followed and evaluated, were retained for the study. Patients with fractures more than 21 days old and fractures on pathological bone, as well as patients treated orthopedically and those lost to follow-up, were excluded from the study. Results: We enrolled 45 patients, 16 men and 29 women, with a sex ratio of 0.5. We performed 24 cases (53.3%) of dynamic condylar screw fixation (DCS), 12 cases (26.7%) of 95° condylar plate blade, 3 cases (6.7%) of HOFFMANN I external fixator and 6 cases (13.3%) of screw fixation. Treatment was assessed according to CHIRON's anatomical and functional criteria, with a mean follow-up of 24 months. Conclusion: Distal femoral fractures are serious, often comminuted and involving a weight-bearing joint. Closed-focus surgical treatment needs to be popularized to reduce local care time and allow early rehabilitation, thereby improving the outcome of these patients.

Keywords: Anatomopathology; Distal End of Femur; Fracture; Treatment

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