Potpourri – Recent and Relevant Literature in Distal Femur Fractures

Journal of Clinical Orthopaedics | Vol 7 | Issue 1 |  Jan-Jun 2022 | page: 56-59 | Clevio Desouza , Nicholas Antao

DOI:10.13107/jcorth.2022.v07i01.471


Author: Clevio Desouza [1], Nicholas Antao [1]

[1] Department of Orthopaedics, Holy Spirit Hospital, Andheri, Mumbai, India

 

Address of Correspondence
Dr. Clevio Desouza,
Department of Orthopaedics, Holy Spirit Hospital, Andheri, Mumbai, India.
E-mail: ceviod@gmail.com


Abstract

Distal femur fractures include fractures of the supracondylar and intercondylar region and are relatively common injuries. The goals of treatment follow AO principles of anatomic reduction of the articular surface, restoration of limb alignment, length, and rotation. Despite improvements in implant design, management of distal femur fractures remains a challenge; fractures are often comminuted, intra-articular, and involve osteoporotic bone, making fixation challenging to achieve. In the geriatric trauma population, the incidence of co-morbidities is high and may impact the therapeutic options. We have aimed to bring together all the recent advances and literature in the management of distal femur fractures through this article.

Keywords: Distal femur, Plating, Nailing, Prosthesis


References

  1. Imam MA, Torieh A, Matthana A. Double plating of intra-articular multifragmentary C3-type distal femoral fractures through the
    anterior approach. Eur J Orthop Surg Traumatol 2018;28:121-30.
  2. Steinberg E, Elis J, Steinberg Y, Salai M, Ben-Tov T. A double-plating approach to distal femur fracture: A clinical study. Injury 2017;48:2260-5.
  3. Sain A, Sharma V, Farooque K, Muthukumaran V, Pattabiraman K. Dual plating of the distal femur: Indications and surgical techniques. Cureus 2019;11:e6483.
  4. Lodde MF, Raschke MJ, Stolberg-Stolberg J, Everding J, Rosslenbroich S, Katthagen JC, et al. Union rates and functional outcome of double plating of the femur: Systematic review of the literature. Arch Orthop Trauma Surg 2021; doi: 10.1007/s00402-021-03767-6. Online ahead of print.
  5. Meluzio MC, Oliva MS, Minutillo F, Ziranu A, Saccomanno MF, Maccauro G. The use of knee mega-prosthesis for the management of distal femoral fractures: A systematic review. Injury 2020;51:S17-22.
  6. Mechas CA, Isla AE, Abbenhaus EJ, Landy DC, Duncan ST, Selby JB, et al. Clinical outcomes following distal femur replacement for periprosthetic distal femur fractures: A systematic review and meta-analysis. J Arthroplasty 2022; Jan 31:S0883-5403(22)00071-7.
  7. Sukhonthamarn K, Strony JT, Patel UJ, Brown SA, Nazarian DG, Parvizi J, et al. Distal femoral replacement and periprosthetic joint infection after non-oncological reconstruction: A retrospective analysis. J Arthroplasty 2021;36:3959-65.
  8. Mancino F, Di Matteo V, Mocini F, Cacciola G, Malerba G, Perisano C, et al. Survivorship and clinical outcomes of proximal femoral replacement in non-neoplastic primary and revision total hip arthroplasty: A systematic review. BMC Musculoskelet Disord 2021;22:933.
  9. Quinzi DA, Childs S, Lipof J, Soin S, Ricciardi BF. The treatment of periprosthetic distal femoral fractures after total knee replacement, JBJS Rev 2020;8:e2000003.
  10. Pitta M, Esposito CI, Li Z, Lee YY, Wright TM, Padgett DE. Failure after modern total knee arthroplasty: A prospective study of 18,065 knees. J Arthroplasty 2018;33:407-14.
  11. Yoo JD, Kim NK. Periprosthetic fractures following total knee arthroplasty. Knee Surg Relat Res 2015;27:1-9.
  12. Wright JG. Revised grades of recommendation for summaries or reviews of orthopaedic surgical studies. J Bone Joint Surg Am. 2006 May;88(5):1161-2.
  13. Neradi D, Sodavarapu P, Jindal K, Kumar D, Kumar V, Goni V. Locked plating versus retrograde intramedullary nailing for distal femur fractures: A systematic review and meta-analysis. Arch Bone Joint Surg 2022;10:141-52.
  14. Goodnough LH, Salazar BP, Chen MJ, Storaci H, Guzman R, Heffner M, et al. Supplemental medial small fragment fixation adds stability to distal femur fixation: A biomechanical study. Injury 2021;52:1670-2.
  15. Nino S, Parry JA, Avilucea FR, Haidukewych GJ, Langford JR. Retrograde intramedullary nailing of comminuted intra-articular distal femur fractures results in high union rate. Eur J Orthop Surg Traumatol 2021; Doi: 10.1007/s00590-021-03140-8. Online ahead of print.
  16. Larsen MS, Schmal H. The enigma of atypical femoral fractures: A summary of current knowledge. EFORT Open Rev 2018;3:494-500.
  17. Prasarn ML, Ahn J, Helfet DL, Lane JM, Lorich DG. Bisphosphonate-associated femur fractures have high complication rates with operative fixation. Clin Orthop Relat Res 2012;470:2295-301.
  18. Rudran B, Super J, Jandoo R, Babu V, Nathan S, Ibrahim E, et al. Current concepts in the management of bisphosphonate associated atypical femoral fractures. World J Orthop 2021;12:660-71.
  19. AlQarooni SH, Ruggiero U, Suresh SP. Atypical fractures secondary to bisphosphonate therapy: A case series and pictorial review. Indian J Musculoskelet Radiol 2021;3:45-53.

 

How to Cite this article: Desouza C, Antao N. Potpourri – Recent and Relevant Literature in Distal Femur Fractures. Journal of Clinical Orthopaedics Jan-Jun 2022;7(1):56-59.

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