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Aim: Distal femoral fractures are associated with high mortality rates in the elderly. Our aim was to evaluate the effectiveness of our management of distal femoral fractures and the mortality rates amongst various treatment modalities. Methods: Seventy-eight patients were included in a retrospective study at our department of all distal femoral fractures between 2006 and 2012. Data was collected on: demographics, injury related data and outcomes. Results: Demographics: Of the final study population, females constituted 81% of patients with 85% of patients older than 65 years old. Injury related data: 67% of patients underwent operative intervention of which 68% were operated on within 48 hours. Outcomes: Our overall 1 year mortality rate was 46% and the length of hospital stay was found to increase with increasing age. Both were found to be least with the use of locking plates and greatest in those treated conservatively. Conclusion: These fractures are challenging to treat and are likely to increase given the ageing population. We propose their outcomes are improved when treated surgically particularly with the use of locking plates. We also suggest they should be managed similar to proximal femoral fractures, with early routine orthogeriatric review.

Distal Femoral Fractures in the Elderly: Does Early Treatment with Locking Plates Reduce Mortality Rates?