Technical TrickTechnical Trick: Dual Plate Fixation of Periprosthetic Distal Femur FracturesMedda, Suman MD; Kessler, Raymond B. MD; Halvorson, Jason J. MD; Pilson, Holly T. MD; Babcock, Sharon MD; Carroll, Eben A. MDAuthor Information Wake Forest Baptist Medical Center, Winston-Salem, NC. Reprints: Suman Medda, MD, 1 Medical Center boulevard, Winston-Salem, NC 27157 (e-mail: [email protected]). S. Medda holds stock in Clovis Oncology and has received educational support from Zimmer Biomet. J. J. Halvorson is a consultant for Smith and Nephew. H. T. Pilson is a paid presenter for Medtronic. E. A. Carroll is a consultant for DePuy Synthes, Smith and Nephew, and Globus and receives research support from DePuy Synthes and Smith and Nephew. The remaining authors report no conflict of interest. Journal of Orthopaedic Trauma: April 2021 - Volume 35 - Issue 4 - p e148-e152 doi: 10.1097/BOT.0000000000001869 Buy Metrics Abstract Summary: Treatment of periprosthetic distal femur fractures remains challenging due to assuring adequate distal fixation. Traditional treatment options include lateral locked plating and retrograde nailing, although recently dual implant constructs have been explored with promising results. Allowing immediate weight-bearing in this patient population has benefits with regards to rehabilitation and outcome. Recent literature has focused on nail–plate constructs, however plate–plate constructs are preferred at our institution as they do not require arthroplasty component compatibility, facilitate the coronal plane reduction, and allow for immediate weight-bearing. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.