BACKGROUND: Fractures of the distal femur are rare injuries that are mainly treated operatively. Complication rates remain high. OBJECTIVES: This study aimed to analyse complications following the operative treatment of these @entity174 and to identify predictive factors that have the potential to identify @entity1 who are at risk for a complicated course of treatment. MATERIALS AND METHODS: We retrospectively analysed all @entity174 of the distal femur that were treated operatively at our institution between 2005 and 2015. Besides @entity1 and @entity174 -specific data, surgical details and the types of complications that occurred were recorded and analysed. RESULTS: Open soft tissue damage, the polytraumatised @entity1 and the timing of surgery (i.e. emergency surgery) are significant risk factors for the development of a nonunion. A risk factor that predicts a @entity86 is open soft tissue damage. Type C @entity174 , stabilisation as emergency surgery and an accompanying @entity1230 are risk factors for a @entity86 . CONCLUSIONS: The complication rate is significantly determined by surgical factors. To reduce the rate of nonunion, @entity281 , the optimisation of the @entity1 's general condition before surgery and optimal surgical care is more important than an immediate emergency surgery.

[Operative therapy of XXXX of the distal femur : Predictive factors for a complicated course].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection and pneumonia'] @entity1230 :: ('MESH:D009104', 'Disease') :: ['polytrauma'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative pneumonia', 'postoperative infection']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
