Description
In this informative talk, Michael Gardner from Stanford University discusses an innovative treatment method for distal femur fractures, focusing on the nail-plate hybrid or combination construct. Over a span of 10 minutes, he provides a comprehensive overview that includes a background on current treatment modalities for commonly comminuted supracondylar femur fractures. Gardner highlights the limitations of traditional treatment options, such as lateral locked plates, particularly the concerning rates of nonunion and complications in elderly patients.
He presents research findings indicating significant mortality rates in elderly patients with distal femur fractures, paralleling those of hip fractures. Gardner emphasizes the importance of early weight-bearing in post-surgical recovery and shares two case studies of elderly patients who underwent successful surgeries using the nail-plate combination approach. The talk also delves into specific surgical techniques, including careful plate positioning and the incorporation of retrograde nails for added stability.
Ultimately, Gardner advocates for this dual-construct method as a viable option for high-risk patients, underscoring its potential for improved recovery outcomes. The discussion concludes with an acknowledgment of the ongoing need to evaluate the cost-effectiveness and surgical implications of this approach.