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2015 ; 10
(2
): 117-122
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Treatment Options for Distal Femoral Fractures
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Lupescu O
; Nagea M
; Patru C
; Vasilache C
; Popescu GI
Maedica (Bucur)
2015[Jun]; 10
(2
): 117-122
PMID28275402
show ga
INTRODUCTION: Due to their high complication rate and negative impact of those
complications upon the knee and the whole lower limb, distal femoral fractures
require optimal restoration of the functional anatomy and stable fixation thus
allowing early recovery. This paper presents the experience of the authors
regarding the indications and results of the most accepted surgical methods,
including late complications affecting the knee. MATERIAL AND METHOD: 36 patients
with closed distal femoral fractures (21-81 yrs old) operated in Bucharest,
Clinical Emergency Hospital, Orthopedics and Trauma Clinic, were retrospectively
studied from the point of view of the fracture and implant type, functional
results and complications. RESULTS: Most of the fractures were high energy
comminuted fractures (27 cases), mainly with articular involvement. Retrograde
nail was used in type A fractures, while plating (LCP) was the main indication
for type C fractures. The functional outcome was correlated with the fracture
type and the incidence of complications was higher in type A3, C2 and C3
fractures. CONCLUSION: Anatomical reduction of the articular surface, restoration
of functional anatomy and stable fixation are mandatory for an optimal knee
function after distal femoral fractures. Failure to achieve them, due to the
character of the fracture or to improper fixation, is followed by significant
functional deficit, thus delaying the patients' recovery.