DIFFIR: Geriatric DIstal Femur: FIxation versus Replacement
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Isolated Fracture Of The Distal Femur
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Age: Between 65 - 100 Years
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Gender: Male or Female
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Other Inclusion Criteria:
- Isolated fracture of the distal femur (AO/OTA Class 33 fractures)
- Fracture is acute (within 1 week from time of injury)
- Participant was ambulatory (with or without walking aids) in the community and at home prior to the injury
- Independent or moderately frail with score of 3 to 6 on the validated Clinical Frailty Scale
- Participant is able to read and understand the consent form document, or an interpreter is available to the patient at the time of consent and follow-up
- Participant or substitute decision maker is able to provide written informed consent to participate in the study
You may not be eligible for this study if the following are true:
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- Active infection around the fracture (soft tissue or bone)
- Open fracture
- Bilateral femur fracture
- Major vascular injuries requiring intervention, compartment syndrome and major neurologic injuries
- Pathological fracture excluding osteoporosis
- Previous ORIF of the distal femur or proximal tibia or total/partial knee arthroplasty
- Current or previous extensor mechanism (patellar tendon, quadriceps tendon, or patella fracture) disruption or repair
- Poly-trauma status (Injury Severity Score>15) or any associated major injuries of the lower extremities that may hinder post-operative ambulation
- Previous medical diagnosis of dementia
- Medical contraindication to surgery
If you are registered as a volunteer, please log in to contact the study team/express interest in this study.