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Journal articles on the topic 'Distal femur fractures'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Harahap, Rudiansyah. "SURGICAL INCISION TECHNIQUE APPROACH ON DISTAL FEMUR FRACTURE A LITERATURE REVIEW." Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran 4, no. 1 (2021): 31–39. http://dx.doi.org/10.26618/aimj.v4i1.4903.

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Distal Femur fractures are rare, with the literature reporting a prevalence of 0.5% of all fractures1. Incidence rates of distal femur fractures have only been reported in a small number of studies2,3. Fractures of the distal femur is described as a classic fragility fracture, with the mean age of patients reported as 67.3 years and the vast majority of fractures (83%) occurring in women1,4.A study shows an incidence of distal femur fractures is 8.7/100,000/year. After the age of 60 years, a rapid increase in the incidence of distal femoral fractures was observed for both genderswith a conside

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2

Lee, Seung, Jae Sim, Do Han, and Min Kim. "A Transpatellar Approach to Treat Distal Femoral Type C3 Fractures Combined with Patellar Fractures." Journal of Knee Surgery 31, no. 09 (2018): 905–12. http://dx.doi.org/10.1055/s-0038-1626734.

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AbstractWe report our surgical method used to treat type C distal femur fractures accompanied by patella fractures whereby we approach the articular surface of the femur through the already-fractured patella. We treated 10 patients with type C3 distal femur and patella fractures between May 2013 and April 2015. Because the patella was fractured in all cases, we could approach the articular surface of the distal femur through the transverse gap between the retracted patellar fracture fragments, “transpatellar approach.” Any surgical complications were recorded. Knee function was evaluated using

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3

Gavalas, Anthony, Cody Perry, Mikel Tihista, Adam Adler, Richard Purcell, and Michael Polmear. "Geriatric Distal Femur Fracture Management Protocols: A Review and Evidence-based Template." Journal of Orthopaedic Business 2, no. 4 (2022): 14–23. http://dx.doi.org/10.55576/job.v2i4.25.

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Objectives: Provide a framework for the development of a “Code Femur” protocol for geriatric distal femur fractures. Design: Literature Review and Evidence Based Note Templates Intervention: Distal Femur Fracture Fixation and Medical Management Main Outcome Measurement: Post operative Mortality Results: Geriatric distal femur fractures are rising in number among osteoporotic fractures in the growing elderly population. Current hip fracture literature recommends fixation of proximal femur fractures in 24-48 hours to reduce mortality and the literature surrounding distal

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4

Prakash, Ayush, Sanjay Kumar, Rohit Nath, and Sanavvar Ali. "Functional and Radiological Outcomes after Locking Plate Fixation of AO Type 33C Distal Femur Fractures." Journal of Orthopaedic Case Reports 15, no. 2 (2025): 275–82. https://doi.org/10.13107/jocr.2025.v15.i02.5306.

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Introduction: Treatment of supracondylar and intercondylar fractures of the distal femur has historically been difficult. These fractures are often unstable and comminuted and tend to occur in the elderly or in patients with multiple injuries. Objective: The purpose of the study is to assess the functional and radiological outcome of locking plate fixation in AO type 33C distal femur fractures. Materials and Methods: A total of 49 patients with distal femoral fractures were operated by open reduction with internal fixation with a distal femur-locking compression plate (LCP) through the standar

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5

Chen, Xiaozhong. "Parametric design of patient-specific fixation plates for distal femur fractures." Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 232, no. 9 (2018): 901–11. http://dx.doi.org/10.1177/0954411918793668.

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To facilitate the creation, modification, and optimization of patient-specific plates for distal femur fractures, a novel approach was proposed for the rapid and convenient design of patient-specific plates for patients’ fractured femurs using feature parameterization. First, several femur parameter values were obtained for a specific patient and used to construct a restored surface model of the fractured femur. Next, combined with the particular femur anatomy and the fracture, a parameterized plate with a suitable shape was created automatically based on the parameter maps between the femur a

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6

Prakash, Kumar, and Ram Majhi Fagu. "Functional and Radiographic Evaluation of Locking Plate Treatment for Distal Femoral Fracture." International Journal of Pharmaceutical and Clinical Research 15, no. 1 (2023): 1060–67. https://doi.org/10.5281/zenodo.13154389.

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<strong>Introduction: </strong>Researchers have reported positive outcomes when treating distal femur fractures with distal femur nails, dynamic condylar screws, and even the addition of a medial plate to a distal femur locking plate. In this study, we investigate the potential of a distal femur locking device to prevent extraarticular, partial, or intraarticular distal femur fractures. Numerous organisations from throughout the world have published encouraging findings. to investigate the functional and radiological results of open reduction and internal fixation with a distal femur lock

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7

Singh, Manjeet. "DISTAL FEMUR FRACTURES FIXATION BY LOCKING COMPRESSION PLATE-ASSESSMENT OF OUTCOME BY RASMUSSENS FUNCTIONAL KNEE SCORE." International Journal of Advanced Research 9, no. 09 (2021): 713–19. http://dx.doi.org/10.21474/ijar01/13472.

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Background: The choice of distal femur locking plate in distal femur fractures has been a topic of debate. This study was performed to evaluate theresults of distal femur locking plate in distal femur fractures. Material and Methods: A prospective randomized study of 30 patients with distalfemur fracture was conducted at Department of Orthopaedics, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana(Ambala), Haryana from January 2020 to July 2021 and followed up from 6months to 18 months for a minimum of 6 months duration. Implants used: The distal femur locking compres

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8

Rampurwala, Aliasgar, Mitul Modi, Akshay Chhatrola, and Arvind Kumar. "Role of Distal Femur Anatomical Plate in Fracture of Distal Femur." Journal of Orthopaedic Case Reports 15, no. 7 (2025): 231–36. https://doi.org/10.13107/jocr.2025.v15.i07.5834.

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Introduction: Distal femur fractures are mostly caused due to vehicular injuries in the middle-aged population. Operative treatment has been preferred with open reduction and internal fixation in these fractures. Due to the availability of anatomical locking compression plates (LCPs), better results and improved functional outcomes have been observed. This study aims to observe the surgical outcome of distal femur fractures operated with an anatomical LCP. Materials and Methods: A prospective study was carried upon 48 patients with 40 male and 8 female patients having fractures of the distal f

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9

Ravindra B Gunaki, Chitresh Mehta, Rahul Sharma, and Swapnil Chitnavis. "Study of outcome of knee joint in patients with fracture distal femur versus fracture ipsilateral femur and tibia." International Journal of Research in Pharmaceutical Sciences 12, no. 2 (2021): 1174–81. http://dx.doi.org/10.26452/ijrps.v12i2.4651.

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The posture on the two wheeler at the speed we travel, makes knee the vulnerable joint of all in any of the mishaps. We as orthopedic surgeons see the fractures around the knee joint as one of the most studied concept in the subject. This is a prospective study conducted, over 2 years, in Krishna Institute of Medical Sciences, Deemed to be University, Karad. In this study, 20 cases of fracture distal femur and 20 cases of ipsilateral fracture femur and tibia were studied to evaluate outcome of knee joint and post surgical stabilization of fractures. The fractured limb was stabilized with splin

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10

Goel, S. C., R. K. Arya, Alok C. Agrawal, et al. "Distal Femur Fractures." Journal of the Epidemiology Foundation of India 2, (2Supp) (2024): S287—S288. http://dx.doi.org/10.56450/jefi.2024.v2i2suppl.017.

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11

Shinde, Raviraj, Tanvi Shinde, and Ajit Shinde. "Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate; Retrospective study." Trauma International 5, no. 1 (2019): 3–6. http://dx.doi.org/10.13107/ti.2019.v05i01.075.

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Introduction: The overall incidence of distal femur fractures is approximately 37 per 100,000 person-years.1 These fractures are either caused by high energy trauma in younger group or low energy falls in elderly population typically older women. As these fractures can lead to long term disability managing them is challenging task. Operative treatment for fracture fixation is recommended for optimal outcome. Although different modes of fracture fixation has evolved and no single method is uniformly successful. In our study we have compared fixation of distal femur fracture using locking plate

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12

Mahajan, Neetin P., Santosh Ghoti, Tushar C. Patil, Kartik P. Pande, and Pritam Talukder. "Management of Short Proximal Femur Nail Peri Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report." Journal of Orthopaedic Case Reports 12, no. 02 (2022): 65–68. http://dx.doi.org/10.13107/jocr.2022.v12.i02.2670.

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Introduction:The rising demographic trend towards elderly population and increased incidence of osteosynthesis of proximal femur fractures are associated with increased recurrent falls and rise in incidence of peri- implant fractures. Case Report: Here, we present a difficult case of a peri- implant femur shaft fracture in a 55-year-old male, with stuck short proximal femur nail (PFN) removal followed by long distal femur plating with bone grafting showing good fracture union at 1 year with satisfactory functional outcome. Conclusion:Peri- implant femur fractures are quite rare and more common

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Agrawal, Anuj. "Distal femur AO type A fractures – Surgical options, techniques, results and complications." Trauma International 2, no. 1 (2016): 12–16. http://dx.doi.org/10.13107/ti.2016.v02i01.014.

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Background: Distal femur fractures are challenging injuries, frequently resulting in complications like non-unions, malunions, knee stiffness and infections. This article reviews the current concepts in the surgical management of extra-articular (AO/OTA type A) fractures of the distal femur, with an evidence-based approach. The role of newer and emerging techniques is also briefly discussed. Keywords: Supracondylar fractures of femur, AO type A fractures of distal femur, extra-articular fractures of distal femur, current concepts in distal femur fractures, recent advances in distal femur fract

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14

Striano, Brendan M., Phillip T. Grisdela, Shay Shapira, and Marilyn Heng. "Early Weight Bearing after Distal Femur Fracture Fixation." Geriatric Orthopaedic Surgery & Rehabilitation 13 (January 2022): 215145932110701. http://dx.doi.org/10.1177/21514593211070128.

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Objectives To assess outcomes following early weight bearing after distal femur fracture fixation with locked lateral plating. Design Retrospective cohort study Setting Two Level 1 Academic Trauma Centers. Patients/Participants Patients 18 years and older with distal femur fractures treated with locked lateral plating Intervention Early full weight bearing (defined as less than 30 days from date of surgery) versus restricted post-operative weight bearing Main Outcome Measurements Composite complication comprising malunion, nonunion, surgical site infection, re-admission, or death Results 270 d

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15

Singh, Vishal, Avinash Gundavarapu, Tejas Patel, and Alokeshwar Sharma. "Outcome of locking compression plate fixation in the management of distal end femur fractures: one year hospital based study." International Journal of Research in Orthopaedics 7, no. 3 (2021): 597. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20211615.

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<p class="abstract"><strong>Background: </strong>Distal femur fractures make up 6 to 7% of all femur fractures. Various plating options for distal femur fracture are conventional buttress plates, fixed-angle devices, and locking plates. This study was planned to evaluate and explore locking compression plate fixation in distal end femur fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.</p><p class="abstract"><strong>Methods: </strong>The study was conduct

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16

Khan, Mohammad Jesan, M. Ahsan Firoz, Adnan Anwer, Pranjal Agrawal, Mamoon Rashid, and Areeb Asif. "Management of Non-Union Distal Femur Fracture with Augmentation Nail-Plate Construct: A Case Report." Journal of Orthopaedic Case Reports 14, no. 9 (2024): 167–72. http://dx.doi.org/10.13107/jocr.2024.v14.i09.4768.

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Introduction: Non-union fractures of the distal femur pose significant challenges in orthopedic surgery, often requiring revision procedures to achieve successful bone healing. In cases where the initial implant has failed, innovative solutions are necessary to promote bone union and functional recovery. Case Report: We present a case of a non-union distal femur fracture in a 22-year-old male patient, with a broken implant in situ. The patient had previously undergone internal fixation with a locking plate, which subsequently failed to promote bone healing. The patient was reoperated using a s

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17

Sah, Shambhu, Navin Kumar Karn, Bikash KC, Roshan Yadav, Sailj Jung Dangi, and Anurag Raj Adhikari. "Outcomes of Surgical Management of Distal Femur Fracture with Distal Femoral Locking Compression Plate at Koshi Zonal Hospital." Birat Journal of Health Sciences 2, no. 3 (2018): 260–65. http://dx.doi.org/10.3126/bjhs.v2i3.18939.

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Introduction: Distal femoral fractures comprise 4-6% of all femur fractures. The management of distal femur fractures are challenging because of significant morbidity and complication rate even with advanced surgical techniques and implants. Open reduction and internal fixation (ORIF) with pre-contoured distal femoral locking compression plate (DF-LCP) is one of the most acceptable surgical procedures these days.Objectiv: Evaluation of functional outcomes of distal femur fractures managed surgically using DF-LCP at Koshi Zonal Hospital.Methodology: In this cross sectional study 21 patients hav

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18

Medhi, Mriganka Nagen, and Girish Balasaheb Mote. "Competency of distal femur locking plate as an answer for fixation of all varieties of distal femur fractures." International Journal of Research in Orthopaedics 5, no. 4 (2019): 555. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20192066.

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<p class="abstract"><strong>Background:</strong> Distal femur fractures are common and need to be treated operatively and for optimal functional outcome. Multiple implants are available for fixation e.g. angled blade plate, dynamic condylar screw, buttress plate, antegrade nailing, retrograde nailing, locking distal femoral plates, external fixator etc. We have designed this study to analyse clinico-radiological outcome and competency of locked plating for all varieties of distal femur fractures.</p><p class="abstract"><strong>Methods:</strong> We cond

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SVA, Kumar, Vishnuprasad SH, Vittal V, Diwakar P, and Zai SAK. "Outcome of dual implantation in distal end femur fractures among patients attending a tertiary care hospital in Karnataka." Journal of Medical and Scientific Research 12, no. 4 (2024): 298–303. https://doi.org/10.17727/jmsr.2024/12-56.

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Background: Distal femur fractures, comprising 6% of femur fractures. These fractures demand precise surgical interventions, especially Muller’s Type C2 and C3 variants, necessitating stable fixation. Dual implants like double-plate and plate-and-nail constructs offer promising anatomical reconstruction. The study was done to estimate the effect of dual implantation in distal femur fracture on union and clinical outcomes of the patients. Methods: Study was done on 30 patients who underwent dual implantation surgery for distal femur fractures. We specifically focused on Muller's C2 and C3 types

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20

Kale, Sachin, Sanjay Dhar, Prasad Chaudhari, Nirupam Mehta, Sonali Das, and Ravi Modi. "Integrated Nail and Plate Fixation with Allograft in the Management of Osteoporotic Intra-articular Distal Femur Fracture – A Case Report." Journal of Orthopaedic Case Reports 14, no. 7 (2024): 93–97. http://dx.doi.org/10.13107/jocr.2024.v14.i07.4588.

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Introduction: Securing stable internal fixation for fractures in the osteoporotic intra-articular distal femur proves to be a demanding task due to thin cortices, a wide medullary canal, diminished bone stock, and fracture comminution. No singular therapeutic approach has successfully tackled all facets of this injury. Consequently, we now introduce a pioneering fixation method in our report, aiming to offer a holistic solution to the intricate challenges associated with this scenario. Case Report: A 60-year-old female presented with an intra-articular distal femur fracture, and underwent a co

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Saroj, Kumar Parida, Das Amit, and Samal Akash. "A Hospital-Based Study Examined the Results of Retrograde Nailing for Surgical Stabilisation of Femur Distal 1/3rd Fracture Shaft." International Journal of Pharmaceutical and Clinical Research 15, no. 3 (2023): 302–6. https://doi.org/10.5281/zenodo.12697031.

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<strong>Objective:  </strong>6% of all femoral fractures are in the 1/3<sup>rd</sup> distal of the femur. The objective of this research was to assess the effectiveness of retrograde nailing in surgically stabilizing a distal 1/3<sup>rd </sup>fractured shaft femur. <strong>Methods: </strong>Retrograde nailing was used to treat 55 patients with 1/3<sup>rd</sup> distal of femur fractures in both genders. Modality of injury, kind of fracture, range of motion (ROM), time from injury, length of surgery, amount of time needed for fracture healing, and function

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Loosen, Antonia, Yannick Fritz, and Michael Dietrich. "Surgical Treatment of Distal Femur Fractures in Geriatric Patients." Geriatric Orthopaedic Surgery & Rehabilitation 10 (January 1, 2019): 215145931986072. http://dx.doi.org/10.1177/2151459319860723.

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Introduction: The treatment of distal femur fractures in geriatric patients is challenging and has a high perioperative morbidity and mortality. Treatments have evolved significantly in the past decades. The aim of our study was to analyze local and systemic morbidity and mortality, as well as functional results in this frail cohort treated with distal femur locking plates. Materials and methods: In this single-institution case series, we retrospectively analyzed the data of patients aged 65 years and older with fractures of the distal femur between March 2013 and March 2018. All patients were

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Rabelo, João Marcos Guimarães, Robinson Esteves Pires, Estevam Barbosa de Las Casas, and Carlos Alberto Cimini Jr. "Busch-Hoffa fracture: A systematic review." Medicine 102, no. 48 (2023): e36161. http://dx.doi.org/10.1097/md.0000000000036161.

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Background: Accomplish a thorough review on the existing biomechanical and clinical studies about coronal plane fractures of the distal femur. Methods: We performed an electronic search of PubMed/MEDLINE database from April to June, 2023. The terms for the database search included “Hoffa fractures,” OR “Busch-Hoffa fractures” OR “coronal plane fractures of the distal femur.” Results: The search identified 277 potentially eligible studies. After application of inclusion and exclusion criteria, 113 articles were analyzed in terms of the most important topics related to coronal plane fractures of

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Dhaniwala, Nareshkumar Satyanarayan, Khizar Khusrau Khan, and Salahuddin Ahmed. "Reconstruction of Juxta-Articular Bone Defect in an Infected Fracture Distal Right Femur Using Autologous Fibular Strut and Iliac Crest Graft." Journal of Evolution of Medical and Dental Sciences 10, no. 39 (2021): 3501–4. http://dx.doi.org/10.14260/jemds/2021/709.

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Distal femur fractures are about 7 % of all femur fractures.1 Being complex in nature management of these fractures is difficult; management is still a challenge in this technically advanced era. Fibular strut graft is one of the useful and simple options to manage defects in distal femur fractures. High velocity injuries causing open fractures may lead to infection and non-union of fracture if proper debridement and antibiotics are not used as per established protocol. Antibiotics can be given mixed with polymethyl-methacrylate (PMMA) cement formed in beads at the open fracture site or coated

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Deepthi, Sabavath, Mise Priyanka, Fatima Heba Habeeb, and Bharath Kumar S. "A comparative prospective study of retrograde nailing versus locked compression plating in distal third femur fractures." International Journal of Research in Orthopaedics 11, no. 1 (2024): 139–46. https://doi.org/10.18203/issn.2455-4510.intjresorthop20243900.

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Background: Treatment of distal femur fractures is complicated by the fact that the majority of these fractures occur near to transverse neurovascular structures. Present study aimed to assess the outcome in patients undergoing retrograde nailing vs locked compression plating in distal third femur fractures. Methods: The present prospective study was conducted among all the patients visiting Mamata general hospital Khammam with distal third femur fractures between age 18-80 years during the period of October 2020- September 2022. The patients were treated with retrograde nailing in group and l

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Shermatov, Kymbatbek R., Mikhail V. Parshikov, and Kamal M. Medjidov. "Mortality in fracture of the distal femoral bone (review)." N.N. Priorov Journal of Traumatology and Orthopedics 31, no. 1 (2024): 101–8. http://dx.doi.org/10.17816/vto582010.

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Distal femur fractures in the elderly can lead to the exacerbation of chronic diseases and fatal outcomes similar to those observed in femoral neck fractures in the same category of individuals. Thus, this study aimed to determine the factors influencing the mortality of patients with distal femur fractures based on the analysis of foreign studies and results of treated patients. Review of foreign literature was conducted using the databases of medical publications PubMed, CyberLeninka, Google Scholar, Scopus, Medline, and Cochrane among articles in English, Chinese, Italian, and Russian, as w

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Paulsson, Martin, Carl Ekholm, Roy Tranberg, Ola Rolfson, and Mats Geijer. "Using a Traction Table for Fracture Reduction during Minimally Invasive Plate Osteosynthesis (MIPO) of Distal Femoral Fractures Provides Anatomical Alignment." Journal of Clinical Medicine 12, no. 12 (2023): 4044. http://dx.doi.org/10.3390/jcm12124044.

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Introduction: Fracture reduction and fixation of distal femur fractures are technically demanding. Postoperative malalignment is still commonly reported after minimally invasive plate osteosynthesis (MIPO). We evaluated the postoperative alignment after MIPO using a traction table with a dedicated femoral support. Methods: The study included 32 patients aged 65 years or older with distal femur fractures of all AO/OTA types 32 (c) and 33 (except 33 B3 and C3) and peri-implant fractures with stable implants. Internal fixation was achieved with MIPO using a bridge-plating construct. Bilateral com

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Shafiq, Muhammad, Ashfaq Ahmed, Kaleem Ullah, et al. "RETROGRADE FEMUR NAIL." Professional Medical Journal 25, no. 03 (2018): 364–70. http://dx.doi.org/10.29309/tpmj/2018.25.03.370.

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Background: Retrograde nailing for fracture of distal shaft of femur is commonprocedure but data about post-operative functional outcome in terms of knee range of motion,union and pain at 6 weeks, 6 months and 1 year follow-up is lacking. Objectives: The mainaim of this study was to determine post-operative functional outcome after performing nailingin a retrograde fashion for distal disphyseal femoral fracture in terms of knee range of motion,pain and union at 6 weeks, 6 months and at least 1 year follow-up. Study Design: Descriptivecase series. Setting: Orthopedics and Spine Centre, Ghurki T

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Baskey, Sidheswar. "Short Term Analysis of the Functional and Radiological Outcome of Distal Femoral Fractures Fixed with Locking Compression Plate by Minimally Invasive Plate Osteosynthesis (MIPO) Technique." Odisha Journal of Orthopaedics and Trauma 3, no. 1 (2022): 39–43. http://dx.doi.org/10.13107/ojot.2022.v03i01.032.

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Background: Fractures of distal femur are very complex injuries and there is significant difficulty to manage. These injuries are severe and have a potential to produce long term disability. These fractures often are unstable and comminuted and tend to occur in elderly or multiply-injured patients. The fractures of distal femur account for 7% of all femoral fractures. If Hip fractures are excluded, 31% of fractures involve the distal femur. The fractures involving distal 15 cm of femur including distal femoral metaphysis (supracondylar) and articular surface (intercondylar) are classified as d

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Ketan, Kumar, and Kishor Das Chandra. "A Prospective Study to Evaluate the Functional Outcome of Open and Closed Reduction for Distal End Femur Fractures." International Journal of Pharmaceutical and Clinical Research 16, no. 5 (2024): 2235–39. https://doi.org/10.5281/zenodo.13144830.

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<strong>Background:</strong> Distal end femur fractures are complex injuries that pose significant challenges in orthopedic practice. The functional outcomes of these fractures can be influenced by the method of reduction employed—either open or closed reduction. <strong>Aim:</strong> This study aims to evaluate and compare the functional outcomes of open and closed reduction techniques for treating distal end femur fractures. <strong>Methods:</strong> This prospective study, conducted in 93 patients with distal end femur fractures. Patients were randomly assigne

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Pandey, K. K., Ashok Vidyarthi, and Naveen Kumar Cholak. "ASSESMENT OF FUNCTIONAL OUTCOME OF DUAL PLATING FOR COMMINUTED DISTAL FEMUR FRACTURE." International Journal of Advanced Research 11, no. 04 (2023): 1300–1312. http://dx.doi.org/10.21474/ijar01/16792.

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Background-Distal femur fractures are commonlyassociated with severemetaphysealcomminution and significant soft tissue injury.Locking plating is one of the best and modern options for treating supracondylar femur fractures with relatively low failure rates. Single lateral plating of distal femur fractures was often found to have a relatively higher failure. A medial platingin addition to lateral plating reduces the chances of failure of fixation and prevents varus collapse.The purpose of this study is toAssessment of Functional Outcome of Dual Plating For Comminuted Distal Femur Fracture. Mate

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K, Rahman, M. "Treatment of Non-Union Distal Femoral Fractures -A Case Study." Scholars Journal of Medical Case Reports 11, no. 12 (2023): 2222–24. http://dx.doi.org/10.36347/sjmcr.2023.v11i12.014.

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Distal femoral fractures are a type of fracture that occurs in the lower part of the femur, near the knee joint. These fractures are relatively rare, comprising only 0.4% of all fractures and 4-6% of femoral fractures. Distal femur fractures can be a serious injury that can lead to long-term complications, including non-union. Non-union is a condition in which a bone fails to heal after a fracture, leading to persistent pain, limited mobility, and other complications. Non-union of the distal femur can be particularly challenging to treat and may require a comprehensive approach that involves s

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Burtsev, Mikhail E., Aleksandr V. Frolov, Aleksei N. Logvinov, Dmitry O. Ilyin, and Andrey V. Korolev. "Surgical treatment of comminuted intraarticular distal femur fracture in patient with osteogenesis imperfecta type I." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 7, no. 1 (2019): 87–96. http://dx.doi.org/10.17816/ptors7187-96.

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Aim. Osteogenesis imperfecta (OI) is characterized by bone fragility and long bones deformities. Most studies are dedicated to surgical treatment of diaphyseal fractures. To our knowledge, there are no reports giving recommendations about surgical treatment of distal femur intraarticular fractures. Clinical case. We describe the surgical treatment of a 14-year-old girl with OI who had intraarticular fracture of the left distal femur and fracture of a right femur diaphysis. Surgical treatment was complicated by migration of a titanium elastic nail and impaired consolidation, which had to

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Gupta, Gaurav, Rabins Kumar Sah, Prashant Thakur, M. Ruhullaha, and Subash Thapa. "Functional Outcome of Locking Compression Plate in Distal Femur Fractures." Med Phoenix 8, no. 2 (2023): 7–13. http://dx.doi.org/10.3126/medphoenix.v8i2.61825.

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Introduction: Distal femur fracture is common in young people with high velocity injury. Management of distal femur fractures is a therapeutic challenge in orthopedics practice due to its extensive soft tissue injuries, bone loss, comminution, articular extension, instability.Open reduction with internal fixation replaces previous trend of closed conservative management and external fixation. Distal femoral locking compression plate (DF-LCP) requires both locking and compression screw fixation of the femur shaft. DF-LCP has been rapidly adopted as an alternative to intramedullary nails, blade

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Kale, Sachin, Shikhar Singh, Arvind Vatkar, Rohan Jayaram, Sonali Das, and Ashmit Verma. "Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up." Journal of Orthopaedic Case Reports 15, no. 2 (2025): 203–8. https://doi.org/10.13107/jocr.2025.v15.i02.5284.

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Introduction: This study evaluates the functional outcomes of combining distal femur plating with retrograde femur nailing in treating comminuted distal femur fractures. Case Report: A retrospective analysis was conducted on patients treated at a tertiary health care center from January 1, 2023, to November 30, 2023. The cohort comprised patients with an average age of 54.57 years (standard deviation [SD] = 13.34) and a male-to-female ratio of 3:4. The primary outcome measure was knee range of motion (ROM). At the 1.5-month follow-up, the average knee flexion was 54° (SD = 13.46). This improve

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Daroch, Manjit S., Deepak Vashisht, and Sanjeev Sreen. "Management of intra-articular fracture of distal femur with LCP and Lag screws in adults." International Journal of Research in Medical Sciences 5, no. 4 (2017): 1434. http://dx.doi.org/10.18203/2320-6012.ijrms20171241.

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Background: Accurate reconstruction of articular surface of distal femur by closed manipulation is not possible. The recent trend for displaced intra-articular fractures of the distal femur is open reduction and stable osteosynthesis with early rehabilitation. The best exposure is achieved through Swashbuckler approach with good results. Purpose of the study was to review the surgical management with LCP and lag screws of complex and most challenging intra-articular fracture of distal femur.Methods: 30 cases of intra-articular fractures of distal femur were treated with LCP and Lag screws in a

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Hill, Brian W., and Lisa K. Cannada. "Hoffa Fragments in the Geriatric Distal Femur Fracture: Myth or Reality?" Geriatric Orthopaedic Surgery & Rehabilitation 8, no. 4 (2017): 252–55. http://dx.doi.org/10.1177/2151458517744076.

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Background: Previous research reported the frequency of coronal plane (Hoffa) fractures in high-energy supracondylar femur fractures in a relatively young population. It is the purpose of this study to identify the frequency of coronal plane fractures seen in elderly patients. Methods: All patients over the age of 18 years treated for supracondylar femur fractures at 2 level I trauma centers were reviewed over a 4-year period. The patients were stratified (≥60 years and <60 years) and compared to determine differences in injury characteristics and fracture patterns with special attention to

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Saraglis, Georgios, Anwar Khan, Amit Sharma, Sagar Pyakurel, Sayed Fazal Elahi Rabbani, and Mohamed Shawky Abdelhamid Arafa. "The linked nail/plate construct for the management of distal femur fractures in the elderly." SICOT-J 10 (2024): 20. http://dx.doi.org/10.1051/sicotj/2024016.

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Background: Distal femoral fractures represent a challenging injury, with many different factors such as the method of fixation, complexity of fracture pattern, and patient co-morbidities affecting the outcome. Lots of surgical treatment options have been described, but recently double construct fixation, using a nail/plate combination, has received lots of attention, a technique that leads to faster weight-bearing, low risk of metalwork failure, and non-union. The purpose of this study was to investigate the effectiveness of the linked nail/plate construct in the management of complex distal

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Kar, Santanu, Hemant Bansal, Vijay Sharma, and Kamran Farooque. "Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report." Case Reports in Orthopedic Research 4, no. 2 (2021): 131–37. http://dx.doi.org/10.1159/000516334.

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Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful

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Sepúlveda, Matías, Cecilia Téllez, Víctor Villablanca, and Estefanía Birrer. "Distal femoral fractures in children." EFORT Open Reviews 7, no. 4 (2022): 264–73. http://dx.doi.org/10.1530/eor-21-0110.

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The physis of the distal femur contributes to 70% of femoral growth and 37% of the total limb growth; therefore, physeal injury can lead to important alterations of axes and length. Distal metaphyseal corner-type fracture prior to walking is classically associated with child abuse. In children aged >10 years, sports-related fractures and car accidents are significant contributors. Imaging includes a two-plane radiographic study of the knee. It is recommended to obtain radiographs that include the entire femur to rule out concomitant injuries. In cases of high suspicion of distal metaphyseal

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Sepúlveda, Matías, Cecilia Téllez, Víctor Villablanca, and Estefanía Birrer. "Distal femoral fractures in children." EFORT Open Reviews 7, no. 4 (2022): 264–73. http://dx.doi.org/10.1530/eor-21-0110.

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The physis of the distal femur contributes to 70% of femoral growth and 37% of the total limb growth; therefore, physeal injury can lead to important alterations of axes and length. Distal metaphyseal corner-type fracture prior to walking is classically associated with child abuse. In children aged >10 years, sports-related fractures and car accidents are significant contributors. Imaging includes a two-plane radiographic study of the knee. It is recommended to obtain radiographs that include the entire femur to rule out concomitant injuries. In cases of high suspicion of distal metaphyseal

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Sainio, Heini, Lasse Rämö, Aleksi Reito, Marja Silvasti-Lundell, and Jan Lindahl. "Prediction of fracture nonunion leading to secondary surgery in patients with distal femur fractures." Bone & Joint Open 4, no. 8 (2023): 584–93. http://dx.doi.org/10.1302/2633-1462.48.bjo-2023-0077.r1.

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AimsSeveral previously identified patient-, injury-, and treatment-related factors are associated with the development of nonunion in distal femur fractures. However, the predictive value of these factors is not well defined. We aimed to assess the predictive ability of previously identified risk factors in the development of nonunion leading to secondary surgery in distal femur fractures.MethodsWe conducted a retrospective cohort study of adult patients with traumatic distal femur fracture treated with lateral locking plate between 2009 and 2018. The patients who underwent secondary surgery d

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Mahajan, Neetin Pralhad, Ved Ashish Ravesh, Prasanna Kumar G. S., Ajay Chandanwale, and Lalkar Gadod. "Assessment of functional outcome of distal femur intra-articular fractures treated with locking compression plate." International Journal of Research in Orthopaedics 6, no. 1 (2019): 145. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20195814.

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<p class="abstract"><strong>Background:</strong> Intra-articular distal femoral fracture makes up to 6% of all femur fractures. Because they damage the cartilage surface of the bone, intra-articular fractures can be more difficult to treat. The locking compression plates have nowadays proven to be gold standard in treating both simple as well as complex intra-articular distal femur fractures. This study is to evaluate the complications, functional and anatomical outcome of distal femur fractures, treated by open reduction and internal fixation using distal femoral locking com

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Kulkarni, Sunil, Saurabh R. Supare, Anjan Nadange, Rohith Garimella, and Pranit Pawaskar. "Double-plating approach in the management of isolated distal femoral fractures." International Journal of Research in Orthopaedics 9, no. 1 (2022): 77. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20223442.

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<p><strong>Background</strong>: Fractures above 9 cm of the articular surface of distal femur are defined as distal femoral fractures which accounts for an estimated 4%-6% of all femur fractures. Stable fixation can be achieved by dual plating of distal femoral fracture. The indications of a dual- lateral and medial plate medial are comminuted distal femur fractures (AO type C3), medial supra-condylar void and bone loss of more than 3 cm, medial Hoffa fracture, inter-condylar comminuted bicondylar fractures, non-union after failed fixation with single lateral plate, poor bone

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Tomar, Lavindra, Gaurav Govil, and Pawan Dhawan. "Distal femur arthroplasty for non-union distal femur fracture with failed osteosynthesis in osteoporotic octogenarian: a case report with literature review." International Journal of Research in Orthopaedics 8, no. 4 (2022): 507. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20221631.

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<p>Distal femur fractures (DFF) in the elderly have high morbidity and management challenges. The low energy trauma commonly presents significant fracture comminution, osteoporosis, pre-existing knee arthritis, co-morbid medical conditions affecting the union, weight-bearing potential and rehabilitation with profound functional disability. An octogenarian presented with a failed osteosynthesis resulting in non-union of a distal femur fracture compounded by osteoporosis and knee arthritis. He had been non-ambulatory with a painful, deformed knee. Management with a single-stage removal of

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Kanakeshwar, Raja Bhaskara, Arun Kamal C, and Dheenadayalan J. "Classification of Distal Femur Fractures and Their Clinical Relevance." Trauma International 2, no. 1 (2016): 3–6. http://dx.doi.org/10.13107/ti.2016.v02i01.012.

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Introduction: Analysis and classifying distal femur fractures is one of the important steps for an orthopaedic surgeon towards a successful outcome in treating these fractures. Few surgeons tried to classify these fractures and we discuss in detail those systems and their clinical relevance . Three classification systems have been discussed below and it has shown the Müller AO classification system remains the ideal classification for these fractures as it is user friendly, easy to document and gives an idea on the prognosis . Keywords : Distal femur fracture, classification, Müller, AO, Hoffa

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Moustafa Hamid Ali Nasser, Mohammed, Ali Tawfik Elalfy, Mohammed Elsadek Atia, and Sameh Mohammed Holail. "MANAGEMENT OF DISTAL FEMUR FRACTURES IN ADULT WITH LOCKING COMPRESSION PLATE." International Journal of Advanced Research 9, no. 01 (2021): 895–902. http://dx.doi.org/10.21474/ijar01/12367.

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Objective: To evaluate the clinical outcomes and radiological union of distal third femur fractures by using distal femur locking plate, in Zagazig university hospitals and KafrSaad emergency hospital. Design: Clinical trial. Methods: Data collected for the study was from the patients admitted in orthopedic department in Zagazig university hospitals and KafrSaad emergency hospital, with distal femur fracture AO 33,during the period of August 2019 to July 2020 and treated with open reduction and internal fixation with distal femur locking compression plate with 4.5 system. All patients were fol

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Gemayel, Anthony, Matthew J. Yousif, William Padget, and Joseph Finch. "Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction." Case Reports in Orthopedics 2019 (March 31, 2019): 1–5. http://dx.doi.org/10.1155/2019/6213807.

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Periprosthetic distal femur fractures can be treated nonoperatively, with open reduction and internal fixation or with more constrained prostheses. Distal femoral replacement is typically a last resort treatment option for comminuted periprosthetic or osteoporotic distal femoral fractures in patients with poor bone stock or resistant nonunions. We report the case of a 54-year-old female with a remote history of bone mulch ACL reconstruction who sustained an intraoperative comminuted bicondylar distal femur fracture during a primary total knee arthroplasty. This patient was treated with a dista

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Khan, Nadeem Ashraf, A. M. Atif, and Abhinandan Chatterjee. "Management of intercondylar femur fracture with distal femur locking compression plate: outcome analysis of 72 cases." International Journal of Research in Orthopaedics 6, no. 5 (2020): 1022. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20203725.

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<p class="abstract"><strong>Background:</strong> Supra-condylar and inter-condylar fractures of the distal femur account for 7% of all femoral fractures and have always been difficult to treat and regaining full knee function is often difficult. The purpose of this study is to evaluate the functional outcome, fracture healing, complications of distal femoral intercondylar fractures managed by locking compression plate.</p><p class="abstract"><strong>Methods:</strong> Total 72 patients of intercondylar femur fracture were operated by ORIF with distal fe

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D, Dr Karthik, and Dr Sunil Kumar PC. "Management of distal femur fractures treated with distal femur nail." International Journal of Orthopaedics Sciences 8, no. 1 (2022): 489–93. http://dx.doi.org/10.22271/ortho.2022.v8.i1g.3061.

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