TY - JOUR
T1 - Distal femur fractures
T2 - basic science and international perspectives
AU - Nauth, Aaron
AU - Haller, Justin
AU - Augat, Peter
AU - Anderson, Donald D
AU - McKee, Michael D
AU - Shearer, David
AU - Jenkinson, Richard
AU - Pape, Hans-Christoph
N1 - Lehr-KH BGU Murnau;
Augat: Paracelsus Medical University in Salzburg, Austria and Institute of Biomechanics at Trauma Centre Murnau, Salzburg, Germany
PY - 2024/3
Y1 - 2024/3
N2 - Distal femur fractures are challenging injuries to manage, and complication rates remain high. This article summarizes the international and basic science perspectives regarding distal femoral fractures that were presented at the 2022 Orthopaedic Trauma Association Annual Meeting. We review a number of critical concepts that can be considered to optimize the treatment of these difficult fractures. These include biomechanical considerations for distal femur fixation constructs, emerging treatments to prevent post-traumatic arthritis, both systemic and local biologic treatments to optimize nonunion management, the relative advantages and disadvantages of plate versus nail versus dual-implant constructs, and finally important factors which determine outcomes. A robust understanding of these principles can significantly improve success rates and minimize complications in the treatment of these challenging injuries.
AB - Distal femur fractures are challenging injuries to manage, and complication rates remain high. This article summarizes the international and basic science perspectives regarding distal femoral fractures that were presented at the 2022 Orthopaedic Trauma Association Annual Meeting. We review a number of critical concepts that can be considered to optimize the treatment of these difficult fractures. These include biomechanical considerations for distal femur fixation constructs, emerging treatments to prevent post-traumatic arthritis, both systemic and local biologic treatments to optimize nonunion management, the relative advantages and disadvantages of plate versus nail versus dual-implant constructs, and finally important factors which determine outcomes. A robust understanding of these principles can significantly improve success rates and minimize complications in the treatment of these challenging injuries.
U2 - 10.1097/OI9.0000000000000320
DO - 10.1097/OI9.0000000000000320
M3 - Review article
C2 - 38487402
SN - 2574-2167
VL - 7
SP - e320
JO - OTA international : the open access journal of orthopaedic trauma
JF - OTA international : the open access journal of orthopaedic trauma
IS - 2 Suppl
ER -