Technical TrickExternal Fixator–Assisted Reduction of Distal Femur Fractures: A Technical TrickShymon, Stephen J. MDa; Ulitto, Joseph BSa; Barei, David P. MD, FRCS(C)b; Sirkin, Michael S. MDa; Reilly, Mark C. MDa; Adams, Mark R. MDaAuthor Information aDepartment of Orthopaedics, Rutgers New Jersey Medical School, Newark, NJ; and bDepartment of Orthopaedic Surgery, Harborview Medical Center, University of Washington, Seattle, WA. Reprints: Stephen J. Shymon, MD, Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, 140 Bergen St D Level, Newark, NJ 07103 (e-mail: [email protected]). M. C. Reilly—Speaker Bureau/Consultant for Stryker. The remaining authors report no conflict of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jorthotrauma.com). Journal of Orthopaedic Trauma: May 2021 - Volume 35 - Issue 5 - p e177-e181 doi: 10.1097/BOT.0000000000001901 Buy SDC Metrics Abstract Summary: Restoration of anatomical alignment while preserving the soft-tissue envelope around the fracture site remains a challenge during distal femur fracture fixation. Although the lateral distal femoral locking plate allows surgeons to achieve adequate bony stability, their application has been associated with malalignment leading to inferior outcomes. We propose a biologically friendly, percutaneous technique that sequentially reduces and aligns distal femur fractures with an anterior external fixator before definitive fixation with a lateral distal femoral locking plate. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.