<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>
Purpose: The good of this survey was to analyze the epidemiological aspects and evaluate anatomical and functional results of the treatment by screwing of femoral neck fracture in adulthood at the Teaching Hospital of an underequipped country. Material and Methods: This is a retrospective study from January 1, 2011 to December 31, 2015, concerning patients hospitalized for fractures of femoral neck and having been operated by screwing. The variables studied were epidemiological and therapeutic aspects. Anatomical results were examined on standard x rays of the pelvis in front and the hip in profil, based on the consolidation of the bony axis. Functional results were analyzed according to the quotation of Postel Merle D'Aubigné. Results: Eleven screwings of femoral neck have been done to 11 patients (9 men and 2 women), average age was 47 years (29 and 60 years) from January 2011 to December 2015, at the mean recoil of 19 months (12 and 24 months). Amongst consolidated patients (n = 7), one patient presented a necrosis of femoral head at two years hindsight. Four patients presented an aseptic pseudarthrosis of femoral neck, or a bad anatomical result. Amidst this group of patients, one underwent a joint replacement type Moore and suggestion of intermediary prothesis was recommended to three patients. According to the quotation of Postel Merle D'Aubigné, results were very satisfactory to 5 patients, good to 2 patients and bad to 4 patients. According to the score of Parker, 7 patients presented a score of 9 and 4 patients a score of 7. Conclusion: The treatment of femoral neck fractures in adulthood requires a surgical approach by osteosynthesis and must be precocious before 24 hours in order to reduce risks of pseudarthrosis of femoral neck and necrosis of femoral head. KeywordsScrewing, Fracture, Femoral Neck How to cite this paper: Monka, M., Mandavo, C.M.,
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