Surgical Discussion

Patient positioning:  Supine positioning was utilized for the procedure, facilitating access to the distal femur and allowing for optimal alignment during fixation.

Anatomical surgical approach:  A lateral approach to the distal femur was employed. This involved a longitudinal incision along the lateral aspect of the thigh, providing direct access to the fracture site. Careful dissection was performed to expose the distal femur while preserving surrounding soft tissue structures.

The surgeon noted that the selected locking anterolateral proximal tibia plate fit well with minimal modification required. A cluster of locking screws was placed in the distal segment to ensure stable fixation. The plate required slight contouring to match the patient's anatomy, but overall alignment and fixation were achieved successfully.

Postoperative protocol:   Postoperative rehabilitation included early mobilization with weight-bearing as tolerated, focusing on maintaining range of motion and strength in the affected limb. Specific protocols were adjusted to accommodate the patient's unique anatomical considerations.

Follow up:   Not specified.

Orthopaedic implants used:   Locking anterolateral proximal tibia plate with locking screws.