Skip to main content

Distal Femoral Fractures

  • Chapter
  • First Online:
Orthopaedic Trauma Surgery
  • 424 Accesses

Abstract

Distal femoral fracture refers to fractures within the distal 9–15 cm of the femur, including femoral condylar fractures within the distal 9 cm of the femur (Krettek 2009; Giles et al. 1982; Kolmert and Wulff 1982; Martinet et al. 2000).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Arneson TJ, Melton LJ III, Lewallen DG, O’Fallon WM, et al. Epidemiology of diaphyseal and distal femoral fractures in Rochester, Minnesota, 1965–1984. Clin Orthop Relat Res. 1988;234:188–94.

    Article  Google Scholar 

  • Bottlang M, Feist F. Biomechanics of far cortical locking. J Orthop Trauma. 2011;25(Suppl 1):S21–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bottlang M, Doornink J, Fitzpatrick DC, et al. Far cortical locking can reduce stiffness of locked plating constructs while retaining construct strength. J Bone Joint Surg Am. 2009;91(8):1985–94.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bottlang M, Lesser M, Koerber J, et al. Far cortical locking can improve healing of fractures stabilized with locking plates. J Bone Joint Surg Am. 2010;92(7):1652–60.

    Article  PubMed  PubMed Central  Google Scholar 

  • Collinge CA. Distal femur fractures. In: Robert WB, James DH, Charles MC, et al., editors. Rockwood and Green’s fractures in adults. 7th ed. Lippincott: Williams & Wilkins; 2010.

    Google Scholar 

  • Doornink J, Fitzpatrick DC, Madey SM, et al. Far cortical locking enables flexible fixation with periarticular locking plates. J Orthop Trauma. 2011;25(Suppl 1):S29–34.

    Article  PubMed  PubMed Central  Google Scholar 

  • Giles JB, DeLee JC, Heckman J, et al. Supracondylar-intercondylar fractures of the femur treated with a supracondylar plate and lag screw. J Bone Joint Surg Am. 1982;64:864.

    Article  CAS  PubMed  Google Scholar 

  • Gwathmey FW Jr, Jones-Quaidoo SM, Kahler D, et al. Distal femoral fractures: current concepts. J Am Acad Orthop Surg. 2010;18(10):597–607.

    Article  PubMed  Google Scholar 

  • Haidukewych GJ, Lyons S, Bernasek T. Treatment of periprosthetic fractures around a total knee arthroplasty. In: Scott NW, editor. Insall & Scott surgery of the knee. 5th ed. Elsevier; 2011.

    Google Scholar 

  • Hoppenfeld S, deBoer P. The femur. In: Surgical exposures in orthopaedics: the anatomic approach. Philadelphia: J B Lippincott; 1984. p. 357–87.

    Google Scholar 

  • Hwlfet DL, Lorich DG. Fractures of the distal femur. In: Browner BD, Jupiter JB, Levine AM, editors. Skeletal trauma, vol. 2. 2nd ed. Philadelphia: WB Saunders; 1997. p. 2033.

    Google Scholar 

  • Klineberg EO, Crites BM, Flinn WR, et al. The role of arteriography in assessing popliteal artery injury in knee dislocation. J Trauma. 2004;56:786.

    Article  PubMed  Google Scholar 

  • Kolmert L, Wulff K. Epidemiology and treatment of distal femoral fractures in adults. Acta Orthop Scand. 1982;53:957.

    Article  CAS  PubMed  Google Scholar 

  • Krettek C. Fractures of the distal femur. In: Browner BD, editor. Skeletal trauma: basic science, management, and reconstruction. 4th ed. Elsevier; 2009.

    Google Scholar 

  • Krijnen MR, Goslings JC, Poolman RW. Distal femur fractures. In: Bhandari M, editor. Evidence-based orthopedics. Wiley-Blackwell; 2012.

    Google Scholar 

  • Lujan TJ, Henderson CE, Madey SM. Locked plating of distal femur fractures leads to inconsistent and asymmetric callus formation. J Orthop Trauma. 2010;24(3):156–62.

    Article  PubMed  Google Scholar 

  • Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database, and outcomes committee. J Orthop Trauma. 2007;21(10 Suppl):S1–S133.

    Article  CAS  PubMed  Google Scholar 

  • Martinet O, Cordey J, Harder Y, et al. The epidemiology of fractures of the distal femur. Injury. 2000;31(Suppl 3):C62–3.

    Article  PubMed  Google Scholar 

  • Mills WJ, Barei DP, McNair P. The value of the ankle-brachial index for diagnosing arterial injury after knee dislocation: a prospective study. J Trauma. 2004;56:1261.

    Article  PubMed  Google Scholar 

  • Müller ME, Nazarian S, Koch P. Classification AO des fractures. New York: Springer; 1987.

    Book  Google Scholar 

  • Müller ME, Nazarian S, Koch P, et al. The comprehensive classification of fractures of long bones. New York: Springer; 1990. p. 116.

    Google Scholar 

  • Müller ME, Allgöwer M, Schneider R, et al. Manual of internal fixation. 3rd ed. New York: Springer; 1991a.

    Book  Google Scholar 

  • Müller ME, Perren SM, Allgöwer M. Arbeits-gemeinschaft für Osteosynthesefragen. Manual of internal fixation: techniques recommended by the AO-ASIF Group. 3rd ed. Berlin: Springer; 1991b.

    Book  Google Scholar 

  • Müller ME, Allgower M, Schneider R, et al. Insertion of the plates into the distal femur. Manual of internal fixation. 3rd ed. New York: Springer; 1995. p. 266.

    Google Scholar 

  • Nork SE, Segina DN, Aflatoon K, et al. The association between supracondylar-intercondylar distal femoral fractures and coronal plane fractures. J Bone Joint Surg Am. 2005;87(3):564–9.

    Article  PubMed  Google Scholar 

  • Pettine KA. Supracondylar fractures of the femur: long-term follow-up of closed versus nonrigid internal fixation. Contemp Orthop. 1990;21(3):253–61.

    CAS  PubMed  Google Scholar 

  • Rademakers MV, Kerkhoffs GM, Sierevelt IN, et al. Intraarticular fractures of the distal femur. J Orthop Trauma. 2004;18:213.

    Article  PubMed  Google Scholar 

  • Stedtfeld HW, Mittlmeier T, Landgraf P, et al. The logic and clinical applications of blocking screws. J Bone Joint Surg Am. 2004;86-A(Suppl 2):17–25.

    Article  Google Scholar 

  • Stoita R, Coffey S. Nonuion of osteoporotic distal femoral fractures after fixation with the LISS: our experience and a review of the literature. J Bone Joint Surg Br. 2010;92-B(Suppl I):216.

    Google Scholar 

  • Yoshoika Y, Siu D, Cooke DV. The anatomy and functional axes of the femur. J Bone Joint Surg Am. 1987;69:873.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zhe Zhao .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zhao, Z., Zhang, Z., Li, M. (2023). Distal Femoral Fractures. In: Tang, P., Chen, H. (eds) Orthopaedic Trauma Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-16-0215-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-0215-3_6

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-0214-6

  • Online ISBN: 978-981-16-0215-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics