Push Screw Technique: A Technical Trick to Optimize Coronal Reduction of Distal Femur Fractures

The "push screw" technique is an adjunct for managing coronal alignment in distal femur fractures fixed with lateral locking plates. Distal femur fractures can be challenging to reduce due to technical challenges in plate placement, leading to varus malalignment and functional consequences. The "push screw" technique involves using a short locking screw proximal to metaphyseal comminution to medialize the proximal shaft, thereby improving coronal alignment. This article presents a case series of distal femur fractures in which the technique was successfully utilized. The "push screw" technique offers a viable option to avoid the golf club deformity associated with lateral plate fixation, emphasizing its safety, ease of implementation, and effectiveness in achieving and maintaining fracture reduction.