DOI: 10.36347/sjams.2019.v07i03.005

Pages: 880-883

Objectives: To study the epidemiological, anatomopathological, diagnostic, therapeutic and progressive aspects of patients with distal femur fracture and compare our outcomes with those of the literature. Introduction: Distal femur fractures are the origin of sequelae such as osteitis, stiffness and osteoarthritis due to malunion or cartilage trauma. They are caused by high energy trauma, with a high risk of opening the site, or low energy in osteoporotic people. The anatomopathological types of these fractures are numerous, each one posing a different diagnostic and technical problem. Materials and methods: Our work is a retrospective study of 17 cases of distal femur fracture colligated in the department of Orthopaedic Surgery and Traumatology II, Mohamed V Military Hospital – Rabat, over a six-year period from 2012 to 2017. The average age of our patients was 45.64 years, with a male predominance of 76.48% of cases. A lesion association was found in 47.05% of the cases. Road accidents accounted for the most common etiology in 58.82% of cases. The classifications of SOFCOT (French Society of Orthopedic and Traumatological Surgery) and NORDIN have been adopted. Type IV simple sus and inter-condylar fractures were the most common in 35.29% of cases. Were the most common in 35.29% of cases? The treatment was surgical in all our patients. Different methods of osteosynthesis were used, the screw-plate DCS (Dynamic Condylar Screw) in 52.94% of the cases, the retrograde intramedullary nailing in 17.64% of the cases and the external fixation in 11.76% of the cases. All patients received postoperative functional rehabilitation. Results: Our outcomes were very good in 58.82% of cases, good in 23.52% of cases, and average in 17.64% of cases according to SOFCOT criteria. The complications found were: stiffness of the knee in 11.76% of cases, non-union in 5.88% of cases, sepsis on osteosynthesis equipment in 5.88% of cases and malunion in 5.88% of cases. Conclusion: Distal fe