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Geriatric Fractures

Session: Concurrent Breakout Session

New Techniques in the Management of Periprosthetic Distal Femur Fractures

Thursday, October 19, 2023
2:00 PM – 3:00 PM PST
Location: 6B

    Moderator(s)

  • EC

    Eben Carroll, MD

    Disclosure(s): AO Foundation: Speakers Bureau (Ongoing); DePuy Synthes: Consultant (Ongoing)

    • Faculty(s)

  • Mark A. Lee, MD (he/him/his)

    UC Davis
    Sacramento, California, United States

    Disclosure(s): AONA Board of Directors: employee, received salary, or hold a management position (Ongoing); Depuy Synthes: Consultant (Ongoing), Speakers Bureau (Ongoing); Globus: Other Financial or Material Support (Ongoing); Osteocentric: Consultant (Ongoing), Other Financial or Material Support (Ongoing)

  • Brett D. Crist, MD

    Professor
    University of Missouri
    COLUMBIA, Missouri, United States

    Disclosure(s): 3M: Consultant (Ongoing), Speakers Bureau (Ongoing); Curvafix: Consultant (Ongoing), Speakers Bureau (Ongoing); Depuy Synthes: Consultant (Ongoing), Grant or Research Support, or I am listed as the PI (Ongoing); Globus: Consultant (Ongoing); Irrisept: Grant or Research Support, or I am listed as the PI (Ongoing); Orthopaedic Implant Company: Stock Shareholder (excluding mutual funds) (Ongoing); Osteocentric: Consultant (Ongoing), Stock Shareholder (excluding mutual funds) (Ongoing)

  • Matt Graves, MD

    Professor and Chair
    University of Mississippi
    Jackson, Mississippi, United States

    Disclosure(s): DPS: Consultant (Ongoing), Speakers Bureau (Ongoing)

In this breakout we will review the current problems the clinician faces with management of periprosthetic distal femur fractures utilizing a literature based approach. These issues include nonunion, malunion and inability to mobilize this at risk population in the early post-operative phase. We will discuss emerging techniques and technologies that may mitigate some of these issues. We will use a case based approach with a combination of didactic and audience participation to achieve our goals. Topics which will be covered will include advantages of plating versus nailing. We will spend considerable time on the topic of dual implants for these injuries and what benefits they may offer. We will discuss the technical steps to achieve success with using dual implant constructs. We will also spend time discussing future directions and cutting edge techniques which may drive treatment in the future.

Learning Objectives:

At the completion of this activity, participants will be able to:
  • Identify the current issues, challenges and common complications seen when managing distal femur periprosthetic fractures.
  • Highlight to the participant the potential benefits and drawbacks to dual implant constructs including the strengths and weaknesses of plate-plate and plate-plate combinations.
  • Offer technical tips and emerging techniques to achieve success in managing this difficult clinical problem.