Vol. 11, Issue 4 (2025)

Introduction: fractures of the distal femoral growth plate are serious because they halt growth. The primary objective was to evaluate the therapeutic outcomes of distal femoral growth plate fractures. The secondary objective was to identify factors influencing functional outcome.  Methods: this was a three-year (2021-2023) observational, cross-sectional, and analytical STROBE study. It involved 33 patients who underwent surgery, with a mean age of 12.1±2.4 years (7-15). Therapeutic and evolutionary variables were studied. N'dour's evaluation criteria were used to assess the functional outcome of the pelvic limb. Univariate (p<0.2) and multivariate (p<0.05) logistic regression was performed to identify predictors of an unsatisfactory functional outcome. Results: the mean time to surgery was 3.8±4.7 (1-21) days. Osteosynthesis was performed using pins (n=21; 62%) and screws (n=13; 38%). The mean length of hospital stay was 2.8 ± 1.1 (1-7) days. The mean time to union was 3.3±0.8 (2-5) months. The most common complication was knee stiffness (9%). At 13 months, functional outcomes were satisfactory (97%). Salter-Harris type 2 and the presence of a skin opening were independent predictors of an unsatisfactory functional outcome. Conclusion: functional outcomes were satisfactory (97%). Salter-Harris type 2 and the presence of a skin opening influenced the satisfactory functional outcome. Long-term monitoring of sequelae is required.