Großterlinden Lars, Weisheit Lena
Orthopädie, Unfall- und Wirbelsäulenchirurgie, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, 22763, Hamburg, Deutschland.
Unfallchirurgie (Heidelb). 2025 Sep 16. doi: 10.1007/s00113-025-01632-4.
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.
由于人口结构变化以及人工关节置换治疗的日益普及，股骨远端骨折变得越来越重要。最新的股骨远端骨折S2指南是通过跨学科共识制定的，结合了当前的证据和经临床验证的治疗这些不同骨折类型的方法。主要重点在于差异化的骨折分类、患者特定的风险因素以及对骨折形态、软组织损伤和一般状况的精确评估。与保守治疗措施相比，手术治疗已成为标准治疗方法，采用了各种骨固定技术，从钢板螺钉固定到髓内钉固定和股骨远端置换。该指南还考虑了围手术期措施、成像技术和康复策略，以预防长期并发症。以下文章基于临床案例研究阐述了该指南的实际应用，并提供了实用指导。
