@article{Belluati_Barbaro_Paderni_Busatto_Pari_2022, title={Distal femoral fractures: is failure related to the osteosynthesis device?}, volume={36}, url={https://www.loscalpellojournal.com/article/view/236}, DOI={10.36149/0390-5276-236}, abstractNote={<p>Distal femoral fractures (DFFs) are challenging injuries. For a long time they were considered difficult to manage and often led to a degree of disability. Until the early 1960s, most of these fractures were treated conservatively, with poor functional outcomes. With the development of new materials and surgical techniques, surgical fixation has gradually become the standard of care for DFFs and has demonstrated better outcomes than non-surgical treatment in terms of fracture healing, alignment and knee motion. The wide variety of surgical options – ranging from osteosynthesis procedures like external fixation, plate fixation, intramedullary nailing to different kinds of knee joint replacement – reflects the complexity in the management of these fractures, which often display comminution of the meta-diaphyseal region and articular involvement. These difficulties become greater when they are associated with elderly patients with multiple comorbidities and poor bone quality, which may not allow to obtain a stable fixation.</p&gt;}, number={1}, journal={Lo Scalpello - Journal}, author={Belluati, Alberto and Barbaro, Daniele and Paderni, Stefania and Busatto, Carlo and Pari, Carlotta}, year={2022}, month={Apr.}, pages={1-5} }