Geriatric Distal Femur Fracture Management Protocols: A Review and Evidence-based Template

Objectives: Provide a framework for the development of a “Code Femur” protocol for geriatric distal femur fractures. Design: Literature Review and Evidence Based Note Templates Intervention: Distal Femur Fracture Fixation and Medical Management Main Outcome Measurement: Post operative Mortality Results: Geriatric distal femur fractures are rising in number among osteoporotic fractures in the growing elderly population. Current hip fracture literature recommends fixation of proximal femur fractures in 24-48 hours to reduce mortality and the literature surrounding distal femur fractures in this population in trending in this direction as well. The goals of distal femur fracture surgery are early mobilization and fracture stabilization in addition to managing the multiple medical co-morbidities that these patients may have. This review discusses the treatment options available for geriatric distal femur fractures that allow for early mobilization and examines the benefits of early operative care. Conclusion: Geriatric Distal Femur Fractures present similar challenges to management as the geriatric hip fracture and a proper understanding of medical co-management and early appropriate surgery through the development of a distal femur fracture program similar to hip benefits warrants consideration. Level of Evidence: Level IV, Systematic Review Keywords: Code Femur, Geriatric, Distal Femur Fracture, Post-operative Mortality, Co-Morbidity