Unusual Morphology of a Distal Femur Fracture

Fractures of the distal femur are rare but serious injuries that often follow a distinct pattern, occurring more frequently in both younger and older populations. In younger individuals, these fractures usually result from high-energy trauma, while in the elderly, they are often caused by domestic accidents. A 65-year-old female with a history of type 2 diabetes, hypertension, anxiety, and dyslipidemia fell on the stairs, impacting her right knee. She experienced intense pain and was unable to walk. Examination showed a swollen right knee without abrasions, tenderness, or neurovascular compromise. X-rays revealed a displaced fracture of the medial femoral condyle, with a fracture line extending to the diaphysis, and a non-displaced lateral femoral condyle fracture. The case underscores a significant distal femur fracture in an elderly patient following a low-energy impact. Early diagnosis and surgical stabilization are vital for good outcomes in femoral condylar fractures. Goals include anatomical reduction and restoring limb alignment while preserving vascularity. The choice of surgical methods depends on fracture configuration and surgeon preference. Surgery is the gold standard for displaced fractures.