ABSTRACT
Osteoporotic distal femur fractures are often challenging injuries to manage and treat. They commonly are intra-articular and comminuted, which makes reduction and maintenance of alignment/fixation arduous. The problem in most cases is poor bone quality and subsequent insufficient implant anchorage. This ultimately can lead to implant cutout, malunion, nonunion, and failure of fixation (1). In addition, several options exist in terms of fixation strategies and implant designs with limited prospective guidance from the literature.
