Abstract
The purpose of this study was to evaluate the clinical results of surgical treatment for distal femoral fractures in elderly patients. We treated eleven patients (2 men, 9 women, mean age 79 years) between 2005 and 2008. A locking compression plate was applied in eight cases, a femoral nail in two, and screw fixation in one. In six cases, the lengths of these implants were limited for post operations of proximal femoral fractures. The mean follow-up period was 5 months. One case of non-union required a second operation. Finally, all of the patients achieved bone union. The radiological measurements including Lindahl's angle and Condyle shift were investigated at the last follow-up. The mean postoperative Neer score was 64 points (range 41 to 78 points). In two cases, good results were not obtained because of postoperative complications. There were no significant differences between the radiographic evaluation and the Neer score.
We conclude that proper choice of implants and prevention of postoperative medical complications are desirable for good operative results in elderly patients with distal femoral fractures.
