Distal femoral fractures: is failure related to the osteosynthesis device?

Distal femoral fractures (DFFs) are challenging injuries. For a long time they were considered difficult to manage and often led degree of disability. Until the early 1960s, most these treated conservatively, with poor functional outcomes. With development new materials surgical techniques, fixation has gradually become standard care for DFFs demonstrated better outcomes than non-surgical treatment in terms fracture healing, alignment knee motion. The wide variety options – ranging from osteosynthesis procedures like external fixation, plate intramedullary nailing different kinds joint replacement reflects complexity management fractures, which display comminution meta-diaphyseal region articular involvement. These difficulties greater when associated elderly patients multiple comorbidities bone quality, may not allow obtain stable fixation.