[S2e guidelines of the German Society for Orthopaedic and Trauma Surgery "distal femoral fractures"-Practical implementation].

Abstract

Distal fractures of the femur are becoming increasingly more important due to demographic changes and the increasing use of endoprosthetic treatment. The updated S2 guidelines on distal femoral fractures were developed by an interdisciplinary consensus and combine current evidence and clinically proven procedures for the treatment of these diverse fracture types. The main focus is on a differentiated fracture classification, patient-specific risk factors and the precise assessment of fracture morphology, soft tissue damage and general condition. Compared to conservative measures, surgical treatment has become established as the standard, with various osteosynthesis techniques being used, from plate and screw osteosynthesis to intramedullary nailing and distal femur replacement. The guidelines also consider perioperative measures, imaging techniques and rehabilitative strategies to prevent long-term complications. The following article illustrates the practical implementation of the guidelines based on clinical case studies and offers practical guidance.