The treatment of distal fermoral fractures has been a controversial topic and it's recently evolved towards indirect reduction and minimally invasive techniques.
Objective: To compare the results of the surgical treatment of distal fermoral fractures with a plate with screws for appendage compression functions with the minimally invasive stabilization.
Matrial and methods: Patients with distal fermoral fractures treated surgically between January 2016 to January 2018 were assessed retrospectively. The subsequent variables were registered from each patient record: age, sex, form of fracture and mechanism of injury, type of implant used, operative time and postoperative bleeding. The Neer scale was accustomed compare the anatomical, radiologic and useful results of each techniques.
Results: The total number of patients was 59; thirty three males and twenty six females; mean age was 58 years. A plate with screws was employed in 36 patients for appendage compression purposes, and a minimally invasive stabilization system in 23. The cases managed with a minimally in-vasive stabilization system had a shorter operative time and less intraoperative bleeding. The results of the analysis victimization the Neer scale were similar for each modalities.
Conclusions: The patients with fracture of the distal third of the femur managed with a minimally invasive stabilization system had higher outcomes, that weren't vital within the Neer scale, mainly due to less pain intensity, early mobilization and less functional repercussions.