ReviewActa bio-medica : Atenei Parmensis2019
Osteoporotic distal femur fractures in the elderly: peculiarities and treatment strategies.
Review in Acta bio-medica : Atenei Parmensis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Treatment Trade-Offs and Choices for Femoral Fractures: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2025Pooled it
- Combined nail-plate constructs in the management of osteoporotic native distal femoral fractures: a systematic review of the available evidence.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Total Femoral Replacement as a Salvage Procedure for a Periprosthetic Fracture After Multiple Previous Femoral Reconstructions: A Case Report.The American journal of case reports · 2026Article
- Retrograde Nailing of an Unstable Distal-Third Femoral Shaft Fracture Using Pure Indirect Reduction: A Case Report in Osteoporotic Bone.Journal of orthopaedic case reports · 2026Article
- Current Concepts in the Treatment of Distal Femur Fractures in Adults.Revista brasileira de ortopedia · 2026Article
- [Current Concepts in the Treatment of Distal Femur Fractures in Adults].Revista brasileira de ortopedia · 2026Article
- Coronal knee alignment is directly related to knee medial-to-lateral bone density ratio.Journal of experimental orthopaedics · 2026Article
- Surgically Treated Non-Unions and Fractures of the Femur and Tibia in Adults: A Nationwide Analysis of 888,442 Cases from the German InEK Database.Journal of epidemiology and global health · 2026Article
- Proximal and Distal Femoral Fracture. A Longitudinal Retrospective Survival Analysis.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Peri-implant and subsequent proximal femur fractures above distally based supracondylar femoral fixation constructs.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Review
- 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
- Lee's TRIAD-osteoporosis, fragility fracture, and bone health optimization.Archives of osteoporosis · 2025Article
- Progress of systematic psychological interventions in elderly patients with femoral fractures: A comprehensive review.World journal of psychiatry · 2024Review
- Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note.OTA international : the open access journal of orthopaedic trauma · 2024Article
- An Outline on the Advancements in Surgical Management of Osteoporosis-Associated Fractures.Cureus · 2024Review
- Computer Navigation-assisted Bilateral Total Knee Arthroplasty with Osteosynthesis in Single Sitting in Patients Presenting with Distal Femur Fracture with Pre-existing Knee Arthritis: A Case Series.Journal of orthopaedic case reports · 2024Article
- Cortical bone thickness on preoperative CT scans as predictor of bone quality in distal femur fractures: a retrospective study in Caucasians.Archives of orthopaedic and trauma surgery · 2024Article
- Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Distal femur fractures account for 4-6% of osteoporosis related fractures of the femur in the elderly population. They represent a relevant cause of morbidity and mortality in the geriatric population with a reported 1-year mortality reaching 30%. Non-displaced fractures or even displaced fractures in patients with high operative risk can be treated conservatively. However, operative treatment is the most widely accepted management option for displaced fractures. The advantage resides in early mobilization and weight-bearing, reducing risks related with a prolonged immobilization when compared with conservative treatment. On the other hand, the intrinsic difficulty of fixing an osteoporotic bone is a major concern. The presence of osteosynthesis devices or prosthetic implants in the femur can make the surgical treatment more challenging, sometimes limiting therapeutic options. Aim of the present paper is to review the most recent literature about osteoporotic distal femur fractures in the elderly, including periprosthetic and other hardware related fractures, to highlight current evidence on management options and related results as a guide for the daily clinical practice.
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Registered trials
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