March 3, 2026Open Access

Outcomes of Periprosthetic Distal Femur Fractures by Fixation Construct: A Retrospective Cohort Study

Key Points

Higher odds of unplanned revision surgery were associated with single lateral locking plate fixation, indicating potential complications.
Patients with dual construct fixation experienced shorter postoperative weight bearing times, allowing for quicker recovery and mobility.
A retrospective cohort analysis across multiple cases highlights different fixation strategies influencing surgical outcomes in complex fractures.
Findings may guide clinical decisions on fixation methods for periprosthetic distal femur fractures, calling for further studies.

Abstract

Single lateral locking plate fixation in PDFF was associated with higher odds of unplanned revision surgery. Dual construct patients had the shortest time to postoperative weight bearing and were more frequently permitted WBAT immediately after surgery.

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Halstrom et al. (Sun,) studied this question.

synapsesocial.com/papers/69a75a72c6e9836116a20434 https://doi.org/https://doi.org/10.5435/jaaosglobal-d-25-00422

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