Objective. To evaluate functional and radiographic results, and complications, after surgical treatment with locked plate in fractures of the distal femur in patients 60 years old or older. Material and methods. We reviewed 16 patients. We recorded epidemiological variables, comorbidities, functional and radiographic results. Results. Mean aged of 75,3 years. Mean follow-up of 13,5 months. Mean knee flexion of 61,6º. Only 12,5% of the patients did not refer knee pain and walked unaided. Radiologically, in 68,7% of the patients femoral translation was greater than 5 mm, and in 31,3% lateral reduction was not correct. Fracture healed in 13 patients (86,6%), in a mean time of 10,2 weeks. There were 1 nonunion, 1 malunion, and 1 infection. Discussion. Locked plating is a realiable treatment for distal femoral fractures. But, in our elderly serie, we experienced bad clinical results with high percentage of knee pain and walking aid.

Objective. To evaluate functional and radiographic results, and complications, after surgical treatment with locked plate in fractures of the distal femur in patients 60 years old or older. Material and methods. We reviewed 16 patients. We recorded epidemiological variables, comorbidities, functional and radiographic results. Results. Mean aged of 75,3 years. Mean follow-up of 13,5 months. Mean knee flexion of 61,6º. Only 12,5% of the patients did not refer knee pain and walked unaided. Radiologically, in 68,7% of the patients femoral translation was greater than 5 mm, and in 31,3% lateral reduction was not correct. Fracture healed in 13 patients (86,6%), in a mean time of 10,2 weeks. There were 1 nonunion, 1 malunion, and 1 infection. Discussion. Locked plating is a realiable treatment for distal femoral fractures. But, in our elderly serie, we experienced bad clinical results with high percentage of knee pain and walking aid.