Estudio comparativo del tratamiento de las fracturas epifiso-metafisarias distales de fémur en el adulto

The authors report their experience in 121 cases of fractures of the lower end of the femur along the period 1971/1980, that is, the 8 %·of all fractures of fermur. 53% were produced in road accidents, in the 32% of the cases were people over sixty yers old.
The differente classifications are being discussed as, well as the author''s own comprehensive classification. The knee condition previously to the fracture is ofgreat importance.The treatment used were: immobilisation in plaster, 3''5 % traction, 5 %, tractionsuspension, 6 %; surgical treatment by internal fixation, 60'5%.The problems about the technique, plaques .and rehabiHtation are analized. Functional treatment was used in 15 cases.The results are analized in order to achieve an estimate criteria about func.tion, economic cost and length of the treatment, factors of prognosis, etc.

The authors report their experience in 121 cases of fractures of the lower end of the femur along the period 1971/1980, that is, the 8 %·of all fractures of fermur. 53% were produced in road accidents, in the 32% of the cases were people over sixty yers old.
The differente classifications are being discussed as, well as the author''s own comprehensive classification. The knee condition previously to the fracture is ofgreat importance.The treatment used were: immobilisation in plaster, 3''5 % traction, 5 %, tractionsuspension, 6 %; surgical treatment by internal fixation, 60'5%.The problems about the technique, plaques .and rehabiHtation are analized. Functional treatment was used in 15 cases.The results are analized in order to achieve an estimate criteria about func.tion, economic cost and length of the treatment, factors of prognosis, etc.