Surgical treatment of distal femural bone fracture

Abstract

Introduction: Distal femoral fractures largely occur as a result of high-energy trauma in the younger population and as osteoporotic fractures in the elderly population. This kind of fracture leads to functional impotence over a long period of time and therefore seriously affect the quality of life in these patients. Whichever method of treatment is chosen, the goal is to restore joint congruence, anatomical length, function of rotation and axial alignment, which will determine early initiation of recovery treatment and range of movements knee joint. Materials and methods: This study is based on 56 patients who were treated in Clinical Hospital of Traumatology and Orthopaedics, in 2-nd department, between 2011-2013. Patients of both sexes aged between 20-83 years. The examination was performed on study cases by :sex, age, affected side (right or left) period of hospitalization and up to surgery, urban or rural, period of time from injury until surgery. Discussion results: In this study showed a prevalence of sex, namely the incidence in women is 67.9% and 32.1% men. The circumstances for the production of fracture was: habitual accident - 40 cases (71,4%), car crash - 1 leases (19,6%), falls in the street - 5 cases (9%). In these 56 cases were used following types of fixation: locked plate-35cases (6 2,4% ),blade plate - 1 leases (19,6%), cortical plate -6 cases (10,7%), blocked intramedular nail - 4cases (7,1%). Conclusion: Incidence rates for distal femoral fractures do indeed rise exponentially with age.This injury will affect the quality of life and working capacity for a long period of time. A complete and accurate assessment followed by appropriate treatment gives good results away with resumption of previous trauma.