Complex Distal Femur Fixation — Why Plates Fail ⏱ Chapters 0:00 Intro 0:22 Read The Fracture In Three Dimensions 1:10 Restore The Axis Before Locking The… 1:59 HOFFA · LETENNEUR 2:49 IMPLANT CHOICE 5:02 MEDIAL COLUMN 6:26 OPERATIVE SEQUENCE 7:39 Nonunion Is A System Failure, Not A Single… 8:06 The Broken Plate Is The Final Event 8:30 OPERATIVE BLUEPRINT 8:57 Recap & sources Alignment, Hoffa fragments, working length, medial support, and construct failure In this OrthoVellum master lecture • Restore alignment before locking • Control the articular block directly • Design working length and medial support Full clinical topic and references: https://orthovellum.com/topics/distal-femur-fractures Image credits • BMC Surgery — CC BY — https://europepmc.org/article/PMC/PMC9531427 • Frontiers in Surgery — CC BY — https://europepmc.org/article/PMC/PMC13270536 • SMARTT — CC BY — http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475009 • Wu CC, J Orthop Surg Res — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258056/ • Cureus — CC BY — https://europepmc.org/article/PMC/PMC13157617 • OrthoVellum — OrthoVellum original asset Educational only — not individual medical advice. #orthopaedics #orthopedics #medicaleducation #orthovellum Orthovellum.com