Operative Treatment Distal Femoral Fracture in Pathum Thani Hospital

Abstract

The retrospective descriptive study was carried out for the surgery of distal femoral fracture from February 2004 to August 2007 with the objectives of studying causes, pattern of fracture and results in closed and opened fractures. There were 50 patients, 46 males and 4 females, aged 31 years on average in Pathum Thani hospital. The accident causes were motorcycle in 43 patients and falling in 3 patients. There were 31 opened fractures and 19 closed fracture. In the opened fractures, the degree and pattern of fractures were Gustilo type III A and A O classification C1, C2, C3. In the closed fractures, the pattern of fractures were A2, A3. There were tendencies for the fractures extending to the knee joints in the opened fracture cases. All patients were operated by Condylar plate and screw. The overall results were 72.08 percent excellent or good, 21.05 percent fair and 7.89 percent failure. The infection rate in opened fracture was equal to that of the closed fractures. In opened fractures, immediate debridement and fixed with plates were found to have more excellent and good results than delayed fixation.