Buttress-condylar plating in treatment of intercondylar supracondylar fractures of distal femur

ABSTRACT

Fractures of the distal third of the femur are some of the most difficult fractures to treat. They present a considerable challenge in treatment as there is soft tissue damage, extension of the fracture into the knee joint with comminution which usually leads to unsatisfactory results in many cases.Is to evaluate the use of buttress condylar plate in treatment of comminuted supracondylar inter-condylar [type C] fractures of the distal femur. During the period from February 1999 until December 2003, twenty three cases of comminuted intercondylar supracondylar [type C] fractures of the distal femur were treated using the buttress- condylar plate and completed their follow up. Thirteen were males and ten were females. Age ranged between 28 and 76 years with an average of 48 years. Bone graft was needed in 7 cases. Follow up period ranged from [8] months to [66] months with an average of 32 months. Satisfactory results were obtained in [78.26%] and unsatisfactory results in [21.74%].When correctly inserted the condylar buttress plate provides excellent alignment and stability and is very helpful in reducing the comminuted intra-articular supracondylar [type C] fractures of the distal femur