Abstract
Objective To investigate the clinical efficacy of different surgical fixation for distal femoral fractures.Methods 82 patients with distal femoral fracture who had been hospitalized during the period of August 2005 to January 2011 were included in this study.Group A ( 19 patients ) received lag screws and multifunctional external fixation,group B ( 20 patients ) locking plates,group C ( 18 patients ) received retrograde intramedullary nails,and group D ( 25 patients ) received condylar buttress plates.The knee function was assessed in the four groups,and the treatment was observed.Results The knee function restored in patients with type-A fracture in the four groups,with no difference ( P＞ 0.05 ).The knee function restored better in the patients with type-C fractures in group B than in those in group A strong ( P＜ 0.05 ),and it was better in group A than in group C ( P＜ 0.05 ),and was better in group D than in group C ( P＜ 0.05 ).Conclusions Locking plate is the best in the treatment of distal femoral fractures,followed by condyle buttress plate.Primary hospitals can choose locking plates or femoral condyle buttress plates based on the economic situation. Key words: Distal femur; Fractures; Fixation
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