Clinical Experience of Distal Femoral Fractures.

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In most cases, distal epiphyseal fracture of the femur turns out to be an intra-articular fracture. Compounded with the knee joint contracture and other problems. it poses a difficult challenge even to today's advanced bone fracture treatment.Briefly presented herein are therapeutic experiences on 17 such fractures encountered from January 1986 through November 1989.Fifteen patients (nine males, six females: average age, 46.5 years) were studied. Bone fractures were classified in terms of Seinsheimer's classification and results evaluated with Neer's criteria.Types I through III showed good results, even with surgical treatment. However, Type IV c was accompanied by knee joint contracture both at time of injury and after surgical intervention: thus, results were poor and justified secondary surgery.