ABSTRACT
Fourteen patients with distal femoral fractures had been treated by condylar buttress plating [CBP] between May 1997 and February 2001 at Assiut University Hospital. There were eight males and six females with an average age of 45 years. Eleven fractures were closed and three were open. The indications for CBP were fractures with articular comminution and fractures with coronal plane element in addition to the sagittal plane element [AO-type C3], fractures extending to less than 3 cm from the joint line with short distal fragment for angled blade-plate fixation, and the presence of comminution of the site of entry for condylar plate. The surgical technique had respected the biological principles in all cases with modification of the approach to be transarticular-minimally invasive in four cases. No bone graft was done in any case even in the presence of medial comminution. All cases united with time to union ranging from 12 to 24 weeks [average 16 weeks]. According to Neer's score, the results were excellent in seven cases, satisfactory in five cases and unsatisfactory in two cases