الفهرس 
APPLIED ANATOMY OF DISTAL FEMUR AND BIOMECHANICS OF THE KNEEOnly 14 pages are availabe for public view
 |  | from | 142 |  |  |
| | | from | 142 | | |
Abstract
DFR and DP had comparable functional (KSS) outcomes in the management of distal femoral fractures among geriatric patients.
No significant difference in the postoperative rate of complications, reoperation rates, or operative time, had been observed between both groups, except for knee ROM at 1 year, which was significantly greater in the DP group.
DFR is valid option for distal femur fractures in geriatrics but with higher initial cost and sometimes disastrous complications, so carful patient selection is necessary.
We suggest that CT based measurement of condylar fragment in its longer dimensions and calculation of the surface area available for screws hold will be a clue to assess the feasibility of fixation in comminuted fractures.
We suggest a larger trials with larger number of cases that may help in building up a step ladder algorithm using the two factors mentioned to decide which patient needs DFR and which one DP will be enough with preservation of the native bone.
CONCLUSION
Distal femoral replacement (DFR) is a valid option in management of distal femur fractures in geriatrics with comparable functional and radiological outcomes to double plating (DP) technique. No significant difference in postoperative complications rate, reoperation rates, or operative time, had been observed between both groups, except for knee ROM at 1 year, which was significantly greater in the DP group.