Dual Plate Fixation of Periprosthetic Distal Femur Fractures.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: E. A. Carroll is a paid consultant for DePuy Synthes, recieves royalties from Globus, is a speaker for the AO Foundation, and recieves research support from both Depuy Synthes and the AO Foundation. The remaining authors report no conflict of interest. 20. Orthop Traumatol Surg Res. 2013 May;99(3):353-60. doi: 10.1016/j.otsr.2012.10.014. Epub 2013 Mar 18. Distal femur fractures. Surgical techniques and a review of the literature. Ehlinger M(1), Ducrot G, Adam P, Bonnomet F. Author information: (1)Department of Orthopaedics and Trauma Surgery, Hautepierre Teaching Hospital Center, Strasbourg Academy Hospital Group, 1, avenue Molière, 67098 Strasbourg cedex, France. matthieu.ehlinger@chru-strasbourg.fr Fractures of the distal femur are rare and severe. The estimated frequency is 0.4% with an epidemiology that varies: there is a classic bimodal distribution, with a frequency peak for men in their 30s and a peak for elderly women; however, at present it is found predominantly in women and in the elderly with more than 50% of patients who are over 65. The most common mechanism is an indirect trauma on a bent knee, and more rarely direct trauma by crushing. The anatomy of the distal femur explains the three major types of fracture. Because of the anatomy of the distal femur, only surgical treatment is indicated to stabilize the fracture. A non-surgical treatment is a rare option. The aim of this report was to provide an update on the existing surgical solutions for the management of these fractures and describe details of the surgical technique applicable to these injuries. Recent radiological, clinical and biomechanical data published in the literature are reported to compare different surgical options. Copyright © 2013 Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.otsr.2012.10.014