Femural distal end fracture (surgical treatment) Retrospective, epidemiological, clinical and therapeutic studies

In this paper we present a retrospective study over a period of 4 years, from January 2019 to December 2022, 66 fractures of the distal extremity of the femur, occurred in 64 patients, treated in the Department of Traumatology-Orthopedics at the IbnTofail Hospital of the Hospital and University Centre Mohamed VI of Marrakech. The aim of this work is to analyze the epidemiological, therapeutic and evolutionary characteristics of this series, to evaluate our results and to compare them with literature data. The average age of our patients was 43.4 years, with extremes ranging from 18 to 77 years. We noted a male predominance with a gender ratio of 4.3: Men represented 81.25%, while women represented only 18.75%. The etiologies were dominated by road accidents in 41%.31.25% had skin openings and there were two cases of LLE attacks. For the anatomopathological study, we adopted the AO classification of MULLER due to its simplicity and its anatomotherapeutic correlations, so we noted 41% of cases of fractures of type A, 18% of type B and 41% of type C. Different osteosynthesis materials were used dominated by judetvis place in34.8% and DCS vis plaque was used in 22.72%. The overall results were both anatomically satisfactory (84.84%) and functionally satisfactory (71.3%).Complications were dominated by knee stiffness in 22.72%. Our findings largely coincide with the findings in the literature, and confirm the significant importance of surgical treatment in the management of lower femur fractures as well as in improving their prognosis. However, emphasis must be placed on the crucial importance of rehabilitation to significantly improve functional outcomes and prevent stiffness.