Comparative analysis of two different treatments by surgery: Distal femoral fractures

Abstract

Introduction: A controversial topic has been the treatment of distal femoral fractures and it was recently evolved towards indirect reduction and minimally invasive techniques.Ob­jective: Comparing the results of the surgical treatment with the minimally invasive stabilization of distal femoral fractures with a plate with screws for appendage compression.Mate­rial and methods: Patients treated surgically between January 2016 and January 2018 with distal femoral fractures were evaluated retrospectively. From each patient record, the following variables were recorded: age, sex, fracture form and injury mechanism, type of implant used, operating time and postoperative bleeding. The Neer scale was used to comparing the anatomical, radiological, and useful outcomes of each technique.Results: the total number of patients was 59; 33 males and 26 females; 58 years was the mean age. A screw plate was used for appendage compression purposes in 36 patients and a minimally invasive stabilization system in 23 patients. The cases handled had a shorter operating time and less in traoperative bleeding with a minimally inbuilt stabilization system. The Neer scale analytical victimization results were similar for each of the modalities.Conclusions: Patients with distal third of the femur fracture managed with a minimally invasive stabilization system had higher outcomes, which were not vital on the Neer scale, mainly due to lower pain intensity, early mobilization and less functional impact.