ArticleInternational orthopaedics2020
High mortality following distal femur fractures: a cohort study including three hundred and two distal femur fractures.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
DIFFIR: Geriatric Distal Femur Fixation Versus Replacement - A Randomized Controlled Trial of Acute Open Reduction Internal Fixation (ORIF) Versus Distal Femoral Replacement (DFR)
Analgesic Effect of Paracetamol in Patients With Femur Fracture: is Intravenous Better Than Oral?
Early Weight Bearing in Distal Femoral Fractures, Dual Plating Versus Single Lateral Plating: a Randomized Controlled Study
Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [S2e guidelines of the German Society for Orthopaedic and Trauma Surgery "distal femoral fractures"-Practical implementation].Unfallchirurgie (Heidelberg, Germany) · 2026Guideline
- Clinical outcomes and risk factors in the surgical treatment of distal femur fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Differential complication risks in diabetic and non-diabetic geriatric patients following distal femur fracture surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Periprosthetic fractures after hip and knee arthroplasty in France : national trends and future projections.Bone & joint open · 2026Article
- [Extra-articular fracture of the distal femur : Characteristics and treatment principles].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Challenging the myth: comparing early complications of native and periprosthetic distal femur fractures. The role of implant stability.Archives of orthopaedic and trauma surgery · 2026Article
- Article
- Preliminary retrospective analysis of combined retrograde tibial intramedullary nail and lateral less invasive stabilization system for distal femoral fractures.The Journal of international medical research · 2025Article
- Predicting discharge destination and length of stay after open reduction internal fixation of distal femur fractures.OTA international : the open access journal of orthopaedic trauma · 2025Article
- No cost difference between single or dual implants for distal femur fractures in the perioperative period.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Osteoporotic Distal Femur Fractures: An Overview.Indian journal of orthopaedics · 2025Review
- Unrestricted weightbearing and ability to achieve postoperative ambulation after distal femur fracture fixation in elderly patients is not associated with decreased mortality.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Meta-analysis of the clinical efficacy and safety of single versus dual plate in the treatment of comminuted distal femur fractures.EFORT open reviews · 2024Article
- Early and 1-year mortality of native geriatric distal femur fractures: A systematic review and time-to-event meta-analysis.Journal of clinical orthopaedics and trauma · 2024Review
- Risk of reverse golf club deformity with medial plating of distal femur fracture.Archives of orthopaedic and trauma surgery · 2024Article
- Distal femur fractures: basic science and international perspectives.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Bone reconstruction with modified Masquelet technique in open distal femoral fractures: a case series.BMC musculoskeletal disorders · 2024Article
- An analytical model of lateral condylar plate working length.Clinical biomechanics (Bristol, Avon) · 2023Article
- Advancing Osteoporosis Evaluation Procedures: Detailed Computational Analysis of Regional Structural Vulnerabilities in Osteoporotic Bone.Journal of personalized medicine · 2023Article
- Predictors of in-hospital mortality in older patients undergoing distal femur fracture surgery: A case-control study.SICOT-J · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhat are the overall, 30-day, 6-month, and 1-year mortality rates following distal femur fractures?
methodsEpidemiological cohort study. Retrospective reviews of charts and X-rays based on a search in the National Danish Health Registry.
resultsA total of 293 patients were treated for 302 distal femur fractures between 2005 and 2010. The mean age at the time of fracture was 44.0 years for males and 71.6 years for females. The overall mortality rates after a non-periprosthetic distal femur fracture at 30 days, six months, and one year were 5%, 15%, and 21%, respectively. The mortality rates for patients at > 60 years at 30 days, six months, and one year were 8%, 26%, and 35%, respectively. The mortality rates for patients at ≤ 60 years at 30 days, six months, and one year were 1%, 2%, and 3%, respectively. The overall mortality rates after a periprosthetic distal femur fracture at 30 days, six months, and one year were 10%, 15%, and 15%. Males were 2.6 (95% CI 1.01-6.86, P = 0.04) times more likely to die within the first year compared to women. Patients treated by conservative means shows a 2.8 (95% CI 1.41-5.54, P = 0.03) times increased likelihood of death within the first year compared to patients treated with surgery.
conclusionsThe overall one year mortality rate was 21% for non-periprosthetic distal femur fractures and was elevated to 35% in patients older than 60 years. Patients presenting with a periprosthetic fracture showed a one year mortality rate of 15%.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.