Orthopaedic Trauma Society: Distal Femur Fracture

Description

This presentation by Ash Vasireddy focuses on managing distal femur fractures, referencing the importance of robust fixation, especially in elderly patients who tend to have higher mortality rates compared to neck of femur fractures. Ash discusses the use of various techniques for fracture fixation, particularly in patients with complex fracture patterns involving intra-articular extensions. He emphasizes the need for early and aggressive mobilization of the patient post-surgery and the significance of obtaining good anatomical reduction to prevent issues like malunion or nonunion.



Multiple surgical strategies are explored, including the application of intramedullary nails, lateral plates, and bi-condylar plating, with a focus on technical aspects such as avoiding malalignment during surgery. Ash shares insights from recent studies comparing different fixation methods, revealing no significant differences in outcomes, but highlighting that alignments and reduction techniques are critical for successful recovery. The presentation stresses the importance of treating distal femur fractures similarly to neck of femur fractures in elderly patients, advocating for comprehensive surgical approaches that allow patients to regain mobility quickly. The discussion is enriched by a panel Q&A, touching upon practical tips and experiences related to the surgical management of these fractures.

DOI: 10.1302/3114-240812

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