Outcomes After Distal Femur Replacement for Fracture: A Multi-Institutional Retrospective Review.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: D. C. Landy is on the editorial or governing board for American Journal of Sports Medicine and is a paid presenter or speaker for Smith & Nephew. S. T. Duncan is a paid consultant for Bone Support, Heron, Heraeus, OrthAlign, Smith & Nephew, and Zimmer; receives research support from Bone Support, Medtronic, Smith & Nephew, and Zimmer; is on the editorial or governing board for Journal of Arthroplasty, Journal of Knee Surgery, Journal of the American Academy of Orthopaedic Surgeons; is a board or committee member for Kentcuky Orthopaedic Society; has stock or stock options in MiCare and Rom3; and receives IP royalties from Smith & Nephew. M. T. Archdeacon reports other professional activities from Stryker. W. T. Obremskey reports other professional activities from Orthopedic Trauma Association. J. M. Lawrenz is a board or committee member for Musculoskeletal Tumor Society. C. Lee is a paid presenter or speaker for DePuy, Johnson & Johnson Company; reports IP royalties from Globus Medical; is a paid consultant for Globus Medical, Smith & Nephew, Stryker, and Synthes; and is on the board or committee member for Orthopaedic Trauma Association. A. Aneja reports honoraria from the Arbeitsgemeinschaft fur Osteosynthesefragen Foundation and research support from the Orthopaedic Trauma Association, American Orthopaedic Foot and Ankle Society, and United States Department of Defense. A. Aneja is a board or committee member for American Academy of Orthopaedic Surgeons and Orthopaedic Trauma Association. The remaining authors report no conflict of interest. 5. J Orthop Trauma. 2019 Feb;33(2):e64-e68. doi: 10.1097/BOT.0000000000001332. Nail Plate Combination Technique for Native and Periprosthetic Distal Femur Fractures. Liporace FA(1), Yoon RS. Author information: (1)Department of Orthopaedic Surgery, Division of Orthopaedic Trauma & Complex Adult Reconstruction, the Orthopedic Institute, Jersey City Medical Center-RWJBarnabas Health, Jersey City, NJ. In the elderly, low-energy distal femur fractures (native or periprosthetic) can be devastating injuries, carrying high rates of morbidity and mortality, comparable with the hip fracture population. Poor, osteoporotic bone quality facilitates fracture in a vulnerable anatomical region, and as a result, operative fixation can be challenging. With goals of early mobilization to reduce subsequent complication risk, using the nail plate combination technique can offer stable, balanced fixation allowing for immediate weight bearing and early mobilization. We outline the rationale, technical steps, and early clinical outcomes after nail plate combination in the treatment of osteoporotic distal femur (native or periprosthetic) fractures. DOI: 10.1097/BOT.0000000000001332