TY  - JOUR
PY  - 2014//
TI  - Epidemiology of distal femur fractures in France in 2011-12
JO  - Orthopaedics and traumatology: surgery and research
A1  - Pietu, G.
A1  - Lebaron, M.
A1  - Flecher, X.
A1  - Hulet, C.
A1  - Vandenbussche, E.
SP  - 545
EP  - 548
VL  - 100
IS  - 5
N2  - 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>
LA  - en
SN  - 1877-0568
UR  - http://dx.doi.org/10.1016/j.otsr.2014.06.004
ID  - ref1
ER  -