Kanoun Mohamed L, Chebil Mounir, Ben Maitig Mahmoud, Ayadi Haykel, Haddad Naoufel, Shimi Nafaa, Khorbi Adel, Hachem Abdelhamid
Hopital Aziza Othmana, Place Du Gouvernement, Tunis Tunisie.
Tunis Med. 2007 Jul;85(7):586-90.
Unicondylar femoral fractures are rare. They form a particular entity of the femoral lower extremity fractures. THE PURPOSE of this work was to evaluate the anatomical and functional results of unicondylar femoral fractures on pain, mobility, walking and stability of the knee.
We reviewed, retrospectively, 28 patients presenting unicondylar femoral fracture. There were 19 men and 9 women, with average age of 54 years (22 - 87 years), victims essentially of domestic accident. The fracture was alone in 65 % of cases. According to Nordin's classification, the fracture was of type I in 3% of cases, type II in 35 % of cases, type III in 20 % of cases and type IV in 42 % of cases. Twenty five patients had a surgical treatment after a median period of 7 days post-accident, 3 patients were treated orthopedically.
After 3 years follow up, results were noted according to MEGY's score which takes into account walking, mobility, pain and the stability. Clinically, we noted 26 good and very good results and 2 moderate results. Anatomically, we obtained 75 % of satisfactory reductions.
Unicondylar femoral fractures remain rare. It is important to recognize them and to make the exact diagnosis of their type. Surgical treatment exposes old subjects to risk of dismantling anatomical osteosynthesis because of osteoporoses.
股骨单髁骨折较为罕见。它们构成了股骨下端骨折的一个特殊类型。本研究的目的是评估股骨单髁骨折在疼痛、活动度、行走及膝关节稳定性方面的解剖学和功能结果。
我们回顾性分析了28例股骨单髁骨折患者。其中男性19例，女性9例，平均年龄54岁（22 - 87岁），主要为家庭意外事故受害者。65%的病例为单纯骨折。根据诺丁分类法，3%的病例为I型骨折，35%为II型骨折，20%为III型骨折，42%为IV型骨折。25例患者在事故后中位时间7天接受了手术治疗，3例患者接受了骨科治疗。
经过3年随访，根据考虑行走、活动度、疼痛和稳定性的梅吉评分记录结果。临床上，我们注意到26例结果良好及非常好，2例结果中等。解剖学上，我们获得了75%的满意复位。
股骨单髁骨折仍然罕见。认识它们并准确诊断其类型很重要。由于骨质疏松，手术治疗使老年患者面临解剖学骨固定拆除的风险。
