Abstract
Locked plating and retrograde nailing are two accepted methods for treatment of periprosthetic
distal femur fractures. Each has relative benefits and potential pitfalls. Appropriate
patient selection and knowledge of the specific femoral component geometry are required
to optimally choose between these two methods. Locked plating may be applied to most
periprosthetic distal femur fractures. The fracture pattern, simple or comminuted,
will dictate the specific plating technique, compression plating or bridge plating.
Nailing requires an open intercondylar box and a distal fragment of enough size to
allow interlocking. With proper patient selection and proper techniques, good results
can be obtained with either method.
Keywords
orthopedics - total knee arthroplasty - periprosthetic supracondylar femur fracture
- locked plating
