Abstract
We present the case of a 90-year-old woman with a traumatic a spiral distal femur shaft fracture. The patient underwent surgery for reduction and fixation of the fracture with an intramedullary antegrade nail. The patient was re-evaluated during the course of a clinical and radiographic follow-up. There were no infectious problems and the patient was able to resume normal activities for her age. Distal femur shaft factures can result from high-energy trauma in young patients or from a fall or minor trauma in the elderly. They are always challenging for the surgeon, especially in terms of choosing the correct fixation method. Early reduction and stable fixation with a mini-invasive approach are essential for a good outcome in elderly patients.
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