Femoral condylar buttress plate

Nineteen cases with intercondylar femoral fractures treated surgically using the condylar buttress plate are presented in this study. Fifteen patients were males, four were females. The average age was 48 years and the follow up period was 6 to 9 months after surgery. Although the condylar buttress plate is not commonly in use nowadays, this plate proved to be very suitable to fix comminuted intercondylar fractures where its lower cloverleaf shaped end can be mounted to the lateral aspect of the lateral femoral condyle, with its anterior and posterior tongue-like extensions fitting to the anterolateral and posterolateral curvatures of the condyle allowing easy orientation of cancellous screws in all possible planes and this versatility permits fixation of different fragments easily and safely. Fracture reduction and stability of fixation achieved were satisfactory in all cases. Healing was manifested radiographically at an average of eleven weeks [range 9 to 17 weeks]. The knee joint range of flexion at the end of follow up was more than 95 degrees in all cases. We recommend the use of this implant especially in comminuted intercondylar femoral fractures

Oblique proximal femoral osteotomy for hip containment and correction of femoral torsion

We present twenty-seven cases [thirty two hips] where proximal femoral osteotomy was needed either to contain the femoral head concentrically within the acetabulum or to correct femoral torsion. The different indications included ten cases with Perthes' disease; eight cases with developmental dysplasia of the hip [DDH]; and nine patients [fourteen hips] with intoeing due to medial femoral torsion. In this procedure the degree of obliquity of the osteotomy was determined from special graphic curves designed for this purpose. The obliquity of the osteotomy was found to fulfill certain advantages including simultaneous correction of deformities in different planes, having wide surface of bone contact at osteotomy site, avoiding excessive shortening, achieving better stability, and better control on the bony fragments. This was reflected on the results achieved where we did not have any case of nonunion, implant failure, under- or over-correction