Clinical and patient-reported outcomes of distal femur fracture fixation in adults aged 18-50 years.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declarations. Competing Interests: Thuan V. Ly reports honoraria from the AO foundation and is a committee member for the Orthopaedic Trauma Association. For the remaining authors no conflicts of interest or sources of funding were declared. 15. J Am Acad Orthop Surg. 2010 Oct;18(10):597-607. doi: 10.5435/00124635-201010000-00003. Distal femoral fractures: current concepts. Gwathmey FW Jr(1), Jones-Quaidoo SM, Kahler D, Hurwitz S, Cui Q. Author information: (1)Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA. The diversity of surgical options for the management of distal femoral fractures reflects the challenges inherent in these injuries. These fractures are frequently comminuted and intra-articular, and they often involve osteoporotic bone, which makes it difficult to reduce and hold them while maintaining joint function and overall limb alignment. Surgery has become the standard of care for displaced fractures and for patients who must obtain rapid return of knee function. The goal of surgical management is to promote early knee motion while restoring the articular surface, maintaining limb length and alignment, and preserving the soft-tissue envelope with a durable fixation that allows functional recovery during bone healing. A variety of surgical exposures, techniques, and implants has been developed to meet these objectives, including intramedullary nailing, screw fixation, and periarticular locked plating, possibly augmented with bone fillers. Recognition of the indications and applications of the principles of modern implants and techniques is fundamental in achieving optimal outcomes. DOI: 10.5435/00124635-201010000-00003