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Implantology of Fractures of the Distal Femur

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Handbook of Orthopaedic Trauma Implantology

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Abstract

Distal femur fractures represent a notorious yet common injury pattern accounting for 0.4–1% of all fractures. Managed conservatively in the past, surgical fixation is the gold standard accepted treatment modality in the modern orthopaedic practice. Although several implants are currently available for osteosynthesis in distal femur fractures, none has proven preeminence over the other. Anatomical periarticular locking lateral plate is the most frequently used implant in ORIF of these fractures, but high complications rates led to the advent of newer treatment modalities. Dual plating, retrograde nailing, and nail-plate construct encompass some of the recent developed techniques that have significantly improved the clinical outcomes in complex distal femur fractures. Furthermore, improvements in implant material and design have led to more biological fixation rather than merely fixing the fracture fragments anatomically. Distal femur replacement is another recent technique that provides a viable treatment option in carefully chosen patients.

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Authors and Affiliations

  1. JPNATC, AIIMS, New Delhi, Delhi, India

    Vivek Trikha

  2. Orthopaedics, AIIMS, New Delhi, Delhi, India

    Anupam Gupta

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  1. Vivek Trikha
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  2. Anupam Gupta
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Correspondence to Vivek Trikha .

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Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Columbia Asia Hospital, Kolkata, West Bengal, India

    Saumitra Misra

  2. Columbia Asia Hospital, Kolkata, West Bengal, India

    Rajiv Chatterjee

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Trikha, V., Gupta, A. (2023). Implantology of Fractures of the Distal Femur. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_81

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