J Knee Surg 2019; 32(05): 403-406
DOI: 10.1055/s-0039-1683444
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Nail–Plate Constructs for Periprosthetic Distal Femur Fractures

Gudrun E. Mirick Mueller
1  Department of Orthopaedic Surgery, Hennepin Healthcare, Minneapolis, Minnesota
› Author Affiliations
Further Information

Publication History

02 February 2019

05 February 2019

Publication Date:
27 March 2019 (online)


Over the past several years, the nail–plate construct (NPC) has emerged as a novel construct for the treatment of challenging distal femoral periprosthetic fractures. This construct, which uses a combination of the two primary treatment methods—lateral locked plating and retrograde intramedullary nailing, creates hybrid stabilization and allows the potential for early mobilization. This article will give the rationale for the use of the NPC as well as a review of the current published literature reviewing its use.