{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T23:00:23Z","timestamp":1771887623114,"version":"3.50.1"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:00:00Z","timestamp":1759968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1007\/s00113-025-01637-z","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T09:53:08Z","timestamp":1760003588000},"page":"166-173","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Die extraartikul\u00e4re distale Femurfraktur","Extra-articular fracture of the distal femur"],"prefix":"10.1007","volume":"129","author":[{"given":"Christian Walter","family":"M\u00fcller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Fernando","family":"S\u00e1nchez Carbonel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian Alexander","family":"K\u00fchne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"issue":"1","key":"1637_CR1","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1007\/s00264-017-3665-1","volume":"42","author":"R Elsoe","year":"2018","unstructured":"Elsoe\u00a0R, Ceccotti\u00a0AA, Larsen\u00a0P (2018) Population-based epidemiology and incidence of distal femur fractures. Int Orthop 42(1):191\u2013196","journal-title":"Int Orthop"},{"issue":"40","key":"1637_CR2","first-page":"665","volume":"118","author":"M Rupp","year":"2021","unstructured":"Rupp\u00a0M, Walter\u00a0N, Pfeifer\u00a0C, Lang\u00a0S, Kerschbaum\u00a0M, Krutsch\u00a0W et\u00a0al (2021) The Incidence of Fractures Among the Adult Population of Germany\u2014an Analysis From 2009 through 2019. Dtsch \u00c4rztebl Int 118(40):665\u2013669","journal-title":"Dtsch \u00c4rztebl Int"},{"issue":"1","key":"1637_CR3","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1007\/s00264-019-04343-9","volume":"44","author":"P Larsen","year":"2020","unstructured":"Larsen\u00a0P, Ceccotti\u00a0AA, Elsoe\u00a0R (2020) High mortality following distal femur fractures: a\u00a0cohort study including three hundred and two distal femur fractures. Int Orthop 44(1):173\u2013177","journal-title":"Int Orthop"},{"key":"1637_CR4","doi-asserted-by":"crossref","unstructured":"Meinberg EAJ, Roberts C et\u00a0al (2018) Fracture and Dislocation Classification Compendium. J\u00a0Orthop Trauma","DOI":"10.1097\/BOT.0000000000001063"},{"key":"1637_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-61261-9","volume-title":"The AO Classification of Fractures of Long Bones","author":"ME M\u00fcller","year":"1990","unstructured":"M\u00fcller ME et al. (1990) The AO Classification of Fractures of Long Bones. Springer, Berlin"},{"issue":"3","key":"1637_CR6","first-page":"111","volume":"85","author":"H Tscherne","year":"1982","unstructured":"Tscherne\u00a0H, Oestern\u00a0HJ (1982) A new classification of soft-tissue damage in open and closed fractures (author\u2019s transl). Unfallheilkunde 85(3):111\u2013115","journal-title":"Unfallheilkunde"},{"issue":"4","key":"1637_CR7","doi-asserted-by":"publisher","first-page":"453","DOI":"10.2106\/00004623-197658040-00004","volume":"58","author":"RB Gustilo","year":"1976","unstructured":"Gustilo\u00a0RB, Anderson\u00a0JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J\u00a0Bone Joint Surg Am 58(4):453\u2013458","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"1637_CR8","doi-asserted-by":"publisher","first-page":"587","DOI":"10.2106\/00004623-196345030-00019","volume":"45","author":"RB Salter","year":"1963","unstructured":"Salter\u00a0RB, Harris\u00a0WR (1963) Injuries involving the epiphyseal plate. JBJS 45(3):587\u2013622","journal-title":"JBJS"},{"issue":"2","key":"1637_CR9","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1016\/S0030-5898(05)70081-X","volume":"30","author":"CH Rorabeck","year":"1999","unstructured":"Rorabeck\u00a0CH, Taylor\u00a0JW (1999) Periprosthetic Fractures of the Femur Complicating Total Knee Arthroplasty. Orthop Clin N Am 30(2):265\u2013277","journal-title":"Orthop Clin N Am"},{"key":"1637_CR10","volume-title":"StatPearls","author":"MS Coon","year":"2025","unstructured":"Coon\u00a0MS, Best\u00a0BJ (2025) Distal Femur Fractures. In: StatPearls. Treasure Island (FL)"},{"issue":"4","key":"1637_CR11","first-page":"e57937","volume":"16","author":"R Singh","year":"2024","unstructured":"Singh\u00a0R, Ambade\u00a0R, Landge\u00a0S, Goyal\u00a0S, Goel\u00a0S (2024) Comprehensive Review on Distal Femur Fractures: From Epidemiology to Treatment Strategies. Cureus 16(4):e57937","journal-title":"Cureus"},{"issue":"3","key":"1637_CR12","doi-asserted-by":"publisher","first-page":"564","DOI":"10.2106\/00004623-200503000-00013","volume":"87","author":"SE Nork","year":"2005","unstructured":"Nork\u00a0SE, Segina\u00a0DN, Aflatoon\u00a0K, Barei\u00a0DP, Henley\u00a0MB, Holt\u00a0S et\u00a0al (2005) The association between supracondylar-intercondylar distal femoral fractures and coronal plane fractures. J\u00a0Bone Joint Surg Am 87(3):564\u2013569","journal-title":"J Bone Joint Surg Am"},{"issue":"12","key":"1637_CR13","doi-asserted-by":"publisher","first-page":"761","DOI":"10.5435\/JAAOS-D-14-00349","volume":"23","author":"RH Boyce","year":"2015","unstructured":"Boyce\u00a0RH, Singh\u00a0K, Obremskey\u00a0WT (2015) Acute Management of Traumatic Knee Dislocations for the Generalist. J\u00a0Am Acad Orthop Surg 23(12):761\u2013768","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"1637_CR14","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/j.ocl.2013.01.006","volume":"44","author":"L Bogunovic","year":"2013","unstructured":"Bogunovic\u00a0L, Cherney\u00a0SM, Rothermich\u00a0MA, Gardner\u00a0MJ (2013) Biomechanical considerations for surgical stabilization of osteoporotic fractures. Orthop Clin North Am 44(2):183\u2013200","journal-title":"Orthop Clin North Am"},{"issue":"4","key":"1637_CR15","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1007\/s00268-019-05237-y","volume":"44","author":"SM Tarrant","year":"2020","unstructured":"Tarrant\u00a0SM, Balogh\u00a0ZJ (2020) The Global Burden of Surgical Management of Osteoporotic Fractures. World J Surg 44(4):1009\u20131019","journal-title":"World J Surg"},{"issue":"3","key":"1637_CR16","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1016\/j.otsr.2012.10.014","volume":"99","author":"M Ehlinger","year":"2013","unstructured":"Ehlinger\u00a0M, Ducrot\u00a0G, Adam\u00a0P, Bonnomet\u00a0F (2013) Distal femur fractures. Surgical techniques and a\u00a0review of the literature. Orthop Traumatol Surg Res 99(3):353\u2013360","journal-title":"Orthop Traumatol Surg Res"},{"issue":"11","key":"1637_CR17","doi-asserted-by":"publisher","first-page":"1091","DOI":"10.3928\/01477447-20081101-05","volume":"31","author":"J Cass","year":"2008","unstructured":"Cass\u00a0J, Sems\u00a0SA (2008) Operative versus nonoperative management of distal femur fracture in myelopathic, nonambulatory patients. Orthopedics 31(11):1091","journal-title":"Orthopedics"},{"key":"1637_CR18","doi-asserted-by":"crossref","unstructured":"Barzen S, Buschbeck S, Distale Femurfraktur HR (2022) Die Unfallchirurgie. 125(7):507\u2013517","DOI":"10.1007\/s00113-022-01197-6"},{"key":"1637_CR19","doi-asserted-by":"crossref","unstructured":"von Rehlingen-Prinz F, Krause M, Berninger M, Frosch K\u2011H (2021) Distale FemurfrakturenDistal femoral fractures. Knie\u00a0J 4:","DOI":"10.1007\/s43205-021-00132-w"},{"key":"1637_CR20","doi-asserted-by":"crossref","unstructured":"Dietrich G, Maeder B, Nyland J, Maeder Y, Akiki A, Martin R (2022) Isolated Femoral LCL Avulsion Fracture in the Adult Knee: Two Patient Cases and Literature Review. Case Rep Orthop (2022:6507577)","DOI":"10.1155\/2022\/6507577"},{"issue":"10","key":"1637_CR21","doi-asserted-by":"publisher","first-page":"597","DOI":"10.5435\/00124635-201010000-00003","volume":"18","author":"FW Gwathmey Jr.","year":"2010","unstructured":"Gwathmey\u00a0FW Jr., Jones-Quaidoo\u00a0SM, Kahler\u00a0D, Hurwitz\u00a0S, Cui\u00a0Q (2010) Distal femoral fractures: current concepts. J\u00a0Am Acad Orthop Surg 18(10):597\u2013607","journal-title":"J Am Acad Orthop Surg"},{"issue":"1","key":"1637_CR22","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1177\/2151458514525041","volume":"5","author":"BS Shulman","year":"2014","unstructured":"Shulman\u00a0BS, Patsalos-Fox\u00a0B, Lopez\u00a0N, Konda\u00a0SR, Tejwani\u00a0NC, Egol\u00a0KA (2014) Do elderly patients fare worse following operative treatment of distal femur fractures using modern techniques? Geriatr Orthop Surg Rehabil 5(1):27\u201330","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"1637_CR23","volume-title":"StatPearls","author":"A Hadeed","year":"2025","unstructured":"Hadeed\u00a0A, Werntz\u00a0RL, Varacallo\u00a0MA (2025) External Fixation Principles and Overview. In: StatPearls. Treasure Island (FL)"},{"issue":"5","key":"1637_CR24","first-page":"446","volume":"91","author":"P Bonnevialle","year":"2005","unstructured":"Bonnevialle\u00a0P, Mansat\u00a0P, Cariven\u00a0P, Bonnevialle\u00a0N, Ayel\u00a0J, Mansat\u00a0M (2005) La fixation externe monoplan dans les fractures r\u00e9centes du f\u00e9mur: \u00c9tude critique d\u2019une s\u00e9rie de 53 cas. Revue De Chir Orthop\u00e9dique Et R\u00e9paratrice De L\u2019appareil Moteur 91(5):446\u2013456","journal-title":"Revue De Chir Orthop\u00e9dique Et R\u00e9paratrice De L\u2019appareil Moteur"},{"issue":"3","key":"1637_CR25","first-page":"736","volume":"64","author":"AA Parekh","year":"2008","unstructured":"Parekh\u00a0AA, Smith\u00a0WR, Silva\u00a0S, Agudelo\u00a0JF, Williams\u00a0AE, Hak\u00a0D et\u00a0al (2008) Treatment of distal femur and proximal tibia fractures with external fixation followed by planned conversion to internal fixation. J\u00a0Trauma 64(3):736\u2013739","journal-title":"J Trauma"},{"issue":"11","key":"1637_CR26","first-page":"954","volume":"122","author":"W Lungershausen","year":"1997","unstructured":"Lungershausen W, Ullrich P (1997) Biologische Osteosynthesen [Biological osteosyntheses]. Zentralbl Chir 122(11):954\u201361. German. PMID: 9480601","journal-title":"Zentralbl Chir"},{"issue":"1","key":"1637_CR27","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1007\/s00590-025-04176-w","volume":"35","author":"G Molina-Olivella","year":"2025","unstructured":"Molina-Olivella\u00a0G, Videla-C\u00e9s\u00a0M, Videla\u00a0S (2025) Immediate full weight-bearing, reduced perioperative morbidity and mortality after surgery in the treatment of distal femur fractures using a\u00a0standard lateral plate plus a\u00a0helical moulded medial plate ostheosynthesis. Eur J Orthop Surg Traumatol 35(1):60","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"Suppl 5","key":"1637_CR28","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1016\/j.injury.2020.02.051","volume":"52","author":"GM Hohenberger","year":"2021","unstructured":"Hohenberger\u00a0GM, Schwarz\u00a0AM, Grechenig\u00a0P, Clement\u00a0B, Staresinic\u00a0M, Bakota\u00a0B (2021) Medial minimally invasive helical plate osteosynthesis of the distal femur\u2014a\u00a0new technique. Injury 52(Suppl 5):S27\u2013s31","journal-title":"Injury"},{"issue":"4","key":"1637_CR29","doi-asserted-by":"publisher","first-page":"307","DOI":"10.4055\/cios.2012.4.4.307","volume":"4","author":"J Kim","year":"2012","unstructured":"Kim\u00a0J, Kang\u00a0SB, Nam\u00a0K, Rhee\u00a0SH, Won\u00a0JW, Han\u00a0HS (2012) Retrograde intramedullary nailing for distal femur fracture with osteoporosis. Clin Orthop Surg 4(4):307\u2013312","journal-title":"Clin Orthop Surg"},{"issue":"2","key":"1637_CR30","first-page":"443","volume":"66","author":"JP Heiney","year":"2009","unstructured":"Heiney\u00a0JP, Barnett\u00a0MD, Vrabec\u00a0GA, Schoenfeld\u00a0AJ, Baji\u00a0A, Njus\u00a0GO (2009) Distal femoral fixation: a\u00a0biomechanical comparison of trigen retrograde intramedullary (i.m.) nail, dynamic condylar screw (DCS), and locking compression plate (LCP) condylar plate. J\u00a0Trauma 66(2):443\u2013449","journal-title":"J Trauma"},{"issue":"3","key":"1637_CR31","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1007\/s00068-023-02393-8","volume":"50","author":"HS Kim","year":"2024","unstructured":"Kim\u00a0HS, Yoon\u00a0YC, Lee\u00a0SJ, Sim\u00a0JA (2024) Which fixation produces the best outcome for distal femoral fractures? Meta-analysis and systematic review of retrograde nailing versus distal femoral plating in 2432 patients and 33\u00a0studies. Eur J Trauma Emerg Surg 50(3):763\u2013780","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"Suppl\u00a02","key":"1637_CR32","doi-asserted-by":"publisher","first-page":"S195","DOI":"10.1016\/j.jor.2015.10.009","volume":"12","author":"CA Pean","year":"2015","unstructured":"Pean\u00a0CA, Konda\u00a0SR, Fields\u00a0AC, Christiano\u00a0A, Egol\u00a0KA (2015) Perioperative adverse events in distal femur fractures treated with intramedullary nail versus plate and screw fixation. J\u00a0Orthop 12(Suppl\u00a02):S195\u20139","journal-title":"J Orthop"},{"issue":"2","key":"1637_CR33","first-page":"141","volume":"10","author":"D Neradi","year":"2022","unstructured":"Neradi\u00a0D, Sodavarapu\u00a0P, Jindal\u00a0K, Kumar\u00a0D, Kumar\u00a0V, Goni\u00a0V (2022) Locked Plating Versus Retrograde Intramedullary Nailing for Distal Femur Fractures: a\u00a0Systematic Review and Meta-Analysis. Arch Bone Jt Surg 10(2):141\u2013152","journal-title":"Arch Bone Jt Surg"},{"issue":"1","key":"1637_CR34","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s00402-024-05723-6","volume":"145","author":"AN Baumann","year":"2024","unstructured":"Baumann\u00a0AN, Uhler\u00a0MA, Fiechter\u00a0J, Anastasio\u00a0AT, Walley\u00a0KC, Coscia\u00a0A et\u00a0al (2024) Nail-plate combination constructs versus single traditional constructs for distal femur fractures: a\u00a0systematic review and meta-analysis of comparative studies. Arch Orthop Trauma Surg 145(1):89","journal-title":"Arch Orthop Trauma Surg"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-025-01637-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-025-01637-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-025-01637-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T22:03:49Z","timestamp":1771884229000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-025-01637-z"}},"subtitle":["Charakteristika und Therapieprinzipien","Characteristics and treatment principles"],"short-title":[],"issued":{"date-parts":[[2025,10,9]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["1637"],"URL":"https:\/\/doi.org\/10.1007\/s00113-025-01637-z","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"value":"2731-7021","type":"print"},{"value":"2731-703X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,9]]},"assertion":[{"value":"9 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"C.W.\u00a0M\u00fcller, J.F.\u00a0S\u00e1nchez Carbonel und C.A.\u00a0K\u00fchne geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}