Highlights
- •Challenges unique to osteoporotic distal femur fractures need to be recognized, anticipated and thoroughly addressed.
- •never miss a Hoffa fracture by obtaining computed tomographic imaging.
- •Regarding retrograde nailing, modern designs, help prevent the ‘Bell-Clapper’ effect.
- •Despite biomechanical advantages of a lateral LISS plate, the need for augmented plating or additional fixation should not be overlooked in complex cases.
- •Always beware of neglecting the severity of the underlying osteoarthritis. Replacement might be the preferred choice in selected cases.
Abstract
Significant work has been done in recent years on treatment strategies for distal
femur fractures. Inclusive reviews on periprosthetic fractures of distal femur have
been carried out recently, but there is a lack of such reviews on the subject of native
distal femur fractures in the recent literature. In this narrative review, we are
set out to address the latest updates on geriatric non-periprosthetic distal femur
fractures, and perform a rapid review over different treatment options, arriving at
a summarized proposed treatment algorithm.
Keywords
Abbreviations:
ODFF (osteoporotic distal femur fracture), RIMN (retrograde intramedulary nail), CT scan (computed tumography scan), MIPO (minimally invasive plate osteosynthesis)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 19, 2022
Accepted:
May 17,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
