Treatment Options for Distal Femur Fractures.

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Abstract

[Indexed for MEDLINE] 9. Orthop Clin North Am. 2021 Oct;52(4):335-346. doi: 10.1016/j.ocl.2021.05.001. Epub 2021 Jul 29. Treatment of B1 Distal Periprosthetic Femur Fractures. Sheridan GA(1), Sepehri A(2), Stoffel K(3), Masri BA(2). Author information: (1)Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: sheridga@tcd.ie. (2)Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada. (3)Department of Orthopaedics and Traumatology, University Hospital Basel, Gellertstrasse 144, 4052 Basel, Switzerland. The burden of periprosthetic distal femoral fractures is projected to increase accordingly with the increase in total knee arthroplasties (TKAs) performed globally in the future. Less invasive plating and intramedullary (IM) nailing techniques still seem to provide similar outcomes based on current literature. Double-plating and combination techniques may prove to be beneficial in the future pending further large-scale studies but currently have not demonstrated superiority over single plating and IM nailing based on current evidence. Distal femoral replacement may provide a useful option for future treatment, provided it is performed by a trained knee arthroplasty surgeon. Copyright © 2021 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2021.05.001