@article{ref1,
title="Epidemiology of distal femur fractures in France in 2011-12",
journal="Orthopaedics and traumatology: surgery and research",
year="2014",
author="Pietu, G. and Lebaron, M. and Flecher, X. and Hulet, C. and Vandenbussche, E.",
volume="100",
number="5",
pages="545-548",
abstract="INTRODUCTION: Epidemiological study of femoral fractures has been dominated by proximal fractures. Distal fracture requires equal attention for correct management. <br><br>PATIENTS AND METHODS: A prospective study in 12 French hospital centres between June 1st, 2011 and May 31st, 2012 recruited cases of non-pathologic distal femoral fracture in patients over 15 years of age without ipsilateral knee prosthesis. <br><br>RESULTS: There were 183 fractures in 177 patients. Mean age was 63.5 years. Female patients (60.5%) were significantly older than males (mean age, respectively 73 versus 48.4 years). Walking was unrestricted in only 83 patients (46.89%). On the AO/OTA (Orthopaedic Trauma Association) classification, there were 86 type A fractures (47%), 29 type B (15.8%) and 68 type C (37.2%). Fractures were open in 32 cases (17.5%), most frequently in male, young patients and type C fracture. Causal trauma was low-energy (fall from own height) in 108 cases, most frequently in female patients and type A fracture. Forty-five patients were proximal femoral implant bearers. <br><br>CONCLUSION: Distal femoral fracture shows highly variable epidemiology. AO/OTA type A fracture mainly involves elderly, relatively dependent female subjects. Outcome study requires radiographic data and assessment of functional capacity. LEVEL OF EVIDENCE IV: Prospective cohort study.<p /> <p>Language: en</p>",
language="en",
issn="1877-0568",
doi="10.1016/j.otsr.2014.06.004",
url="http://dx.doi.org/10.1016/j.otsr.2014.06.004"
}