ABSTRACT
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