Clinical Research Directory

Inclusion Criteria: * Patient age 60 years or greater, * Femur fracture distal to the femoral diaphysis, * Operative treatment within 72 hours of presenting to the treating hospital, * Patient was previously ambulatory, * Fracture amendable to either single or dual implant fixation, * Informed consent can be obtained from the patient, family member, or power of attorney. Exclusion Criteria: * Associated major lower extremity fracture, * Ongoing infection, * History of metabolic bone disease (Paget's, etc), * Pathologic fracture, * Open fracture, * Severe cognitive impairment (Six Item Screener with 3 or more errors), * Stage 5 Parkinson's disease, * Significant femoral bone loss requiring planned staged bone grafting, * Vascular injury.