Results of distal femur fractures managed by blade plate 95° at Brazzaville teaching hospital

Abstract

<p class="abstract"><strong>Background:</strong> The objective of the study was to report the anatomical and functional results of distal femur fractures treated by blade plate 95° AO at CHU-Brazzaville.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of patients operated by blade plate for distal femur fractures between January 2012 and December 2016. Fourteen out of seventeen patients operated by blade plate met the inclusion criteria. Fractures of the distal femur were divided according to Chiron's classification. The anatomical and functional results were evaluated according to the analysis criteria of the SOFCOT 1988 round table.<strong></strong></p><p class="abstract"><strong>Results:</strong> Of the 14 patients in our study, 8 were men and 6 were women. The average age was 35 (range 18 to 54). The fractures were consecutive to a road accident (n=13) and a fall in a gutter in 1 case. Bone healing was achieved in all our patients. The reduction was anatomic in 13 patients and in 1 patient there was a 10° angulation of the recurvatum type. According to the criteria of the SOFCOT 1988 round table, the results at the average follow-up of 12 months were judged very good in 7 patients, good in 3 patients, average in 1 patient and bad in 3 patients..</p><p><strong>Conclusions:</strong> The results of our study confirm the performance of blade plate fixation in fractures of the distal femur. However, the other implants constitute a therapeutic arsenal of complex epiphyseal fractures of the distal femur, which should benefit trauma-orthopedics surgery wards for the management of all varieties of fractures of the distal femur. </p>