Interventions for treating fractures of the distal femur in adults

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There is either no or insufficient evidence from randomised trials to inform on optimal non-surgical treatment, on the use of surgery, or on optimal surgical intervention for fractures of the distal femur in adults

Fractures of the distal femur are relatively uncommon but serious injuries that are a considerable cause of morbidity. Various different non-surgical and surgical treatments have been used in the management of these injuries. Initial stabilisation can comprise a long-leg splint or cast, skin or skeletal traction, or external fixation in people with polytrauma. Non-surgical treatment, typically for less severe injuries, involves immobilisation such as via a hinged knee brace or a long-leg cast for several weeks. Commonly used surgical interventions are intramedullary nailing and plate fixation. This review assessed effects (benefits and harms) of interventions for treating fractures of the distal femur in adults.

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