Distal Femoral Replacement Versus Open Reduction and Internal Fixation for Periprosthetic Distal Femur Fractures in Older Populations: A Systematic Review and Meta-Analysis of Failure, Revision, and Functional Outcomes
Periprosthetic distal femur fractures (PDFFs) following total knee arthroplasty (TKA) in patients aged ≥70 years are increasingly common and challenging to manage. Distal femoral replacement (DFR) and open reduction internal fixation (ORIF) are the two principal treatment options, but the optimal approach remains u...