University of Utah
The investigators overall study objective is to determine the difference in outcomes for patients over 60 years of age with a displaced distal femur fracture treated with dual distal femur implants (dual plate or IMN/plate) vs. a single distal femur implant (plate or IMN).
The incidence of distal femur fractures in elderly patients continues to increase, most recently having an incidence of 8.7/100,000/year. This trend likely accompanies the aging population and the increased rates of knee arthroplasty. While these fractures are far less common than geriatric hip fractures, distal femur fractures present similar treatment challenges. Elderly distal femur fractures tend to occur in compromised hosts with poor bone mineral density. Similar to geriatric hip fractures, care emphasizes early mobilization to avoid the complications associated recumbency, including pne…
Inclusion Criteria: * Patient age 60 years or greater, * Femur fracture distal to the femoral diaphysis, * Operative treatment within 72 hours of presenting to the treating hospital, * Patient was previously ambulatory, * Fracture amendable to either single or dual implant fixation, * Informed consent can be obtained from the patient, family member, or power of attorney, * Displaced fracture (\>2.5mm displacement, native or periprosthetic) Exclusion Criteria: * Associated major lower extremity fracture, * Ongoing infection, * History of metabolic bone disease (Paget's, etc), * Pathologic fr…
Single implant fixation
Dual implant fixation
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